Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fountain Modern Dentistry and Orthodontics, LLP

Organization General Practice Dentistry · NPI 1730434622

Fountain Modern Dentistry and Orthodontics, LLP provides General Practice Dentistry in Irvine, California. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2860 Michelle Drive 2nd Fl
Irvine, CA 92606 Not confirmed with CMS for 14 years — call before visiting
Phone: (714) 368-2077
Fax: (714) 368-2092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9356 (CO)

Record details

NPI number1730434622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Rodgers — Dds/ Owner · (719) 382-4936
Other names Fountain Modern Dentistry And Orthodontics
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012
Mailing address6940 Mesa Ridge Parkway, Fountain, CO 80817

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