College Ave Modern Dental Practice, LLC
College Ave Modern Dental Practice, LLC provides Dentist services in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2017.
- Licensed in
- CO
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3617 S College Ave Unit BFort Collins, CO 80525-3009
Phone: (970) 233-8933
Fax: (888) 790-7062
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 10115 (CO) |
|---|
Record details
| NPI number | 1205358017 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Frederick — Owner/Dentist · (970) 233-8933 |
| Other names | College Ave Modern Dental; College Ave Modern Dental |
| NPI enumerated | July 13, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 3617 S College Ave Unit B, Fort Collins, CO 80525-3009 |
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