Fort Collins Kids Dentistry
LBN: Fort Collins Kids Dentistry
Fort Collins Kids Dentistry is an health care organization with primary practice located at 1241 Riverside Ave , Fort Collins CO 80524-3204. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Fort Collins Kids Dentistry can be contacted via phone (970) 632-0306, or through Guido, Joseph Anthony via phone (970) 672-7525.
Contact Information
Primary practice address
1241 Riverside Ave
Fort Collins CO 80524-3204
Phone: (970) 632-0306
Fax: (970) 797-2207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 02786092 | Colorado |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 20161161840 | Colorado |
Profile Details
| NPI number | 1326494451 |
|---|---|
| LBN Legal business name | Fort Collins Kids Dentistry |
| DBA Doing business as | Fort Collins Kids Dentistry |
| Authorized official | Guido, Joseph Anthony DDS, MBR |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 7th, 2016 |
| Last updated | Sep 1st, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326494451 | NPPES |
| Colorado | MEDICAID | 41489268 | |
| Colorado | MEDICAID | 13430734 | |
| Colorado | MEDICAID | 90382587 |
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