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

Four Corners Family Dental-Co, LLC

Organization Dentist · NPI 1003295478

Four Corners Family Dental-Co, LLC provides Dentist services in Pagosa Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

308 N Pagosa St
Pagosa Springs, CO 81147 Not confirmed with CMS for 11 years — call before visiting
Phone: (970) 507-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.0000111 (CO)

Record details

NPI number1003295478
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFour Corners Family Dental, LLC
Authorized official Jennifer Mann — Office Manager · (505) 320-2942
NPI enumeratedMay 19, 2015
Last updated in NPPESMay 19, 2015
Mailing address3501 N Butler Ave Ste 104, Farmington, NM 87401

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