| Associates In Periodontics | |
|
1120 East Elizabeth Street Suite G5 Fort Collins CO 80524-4044 | |
| (970) 221-5050 | |
| (970) 221-5054 |
| Full Name | Associates In Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1120 East Elizabeth Street, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer R. Merritt (OWNER) |
| Authorized Official Contact | 9702215050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Periodontics 1120 East Elizabeth Street Suite G5 Fort Collins CO 80524-4044 Ph: (970) 221-5050 | Associates In Periodontics 1120 East Elizabeth Street Suite G5 Fort Collins CO 80524-4044 Ph: (970) 221-5050 |
| NPI Number | 1760802102 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760802102 | NPI | - | NPPES |
| 9625 | Other | CO | COLORADO DENTAL LICENSE DR. MERRITT |
| 8786 | Other | CO | COLORADO DENTAL LICENSE DR. JOHNSON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 8786 (Colorado) | Primary |
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