Shawn M Custer Dental Pllc

LBN: Shawn M Custer Dental Pllc
Shawn M Custer Dental Pllc is an health care organization with primary practice located at 3950 John F Kennedy Pkwy Unit E , Fort Collins CO 80525-3074. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Shawn M Custer Dental Pllc can be contacted via phone (970) 732-4371, or through Custer, Shawn Michael via phone (402) 721-8200.

Contact Information

Primary practice address
3950 John F Kennedy Pkwy Unit E Fort Collins CO 80525-3074
Phone: (970) 732-4371
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Custer, Shawn Michael
Phone: (402) 721-8200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1255083473
LBN Legal business name Shawn M Custer Dental Pllc
DBA Doing business as
Authorized official Custer, Shawn Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 19th, 2022
Last updated Jan 19th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255083473 NPPES
Colorado MEDICAID 9000154967

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