| Fort Collins Dentist Family & Implant Dentistry Pllc | |
|
2001 S Shields St. Building L Fort Collins CO 80526-1489 | |
| (970) 221-5115 | |
| (970) 221-5136 |
| Full Name | Fort Collins Dentist Family & Implant Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2001 S Shields St. Building L, Fort Collins, Colorado |
| Authorized Official Name and Position | Allison Marie Lesko (OWNER DENTIST) |
| Authorized Official Contact | 9702215115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Collins Dentist Family & Implant Dentistry Pllc 2001 S Shields St Building L Fort Collins CO 80526-1489 Ph: (970) 221-5115 | Fort Collins Dentist Family & Implant Dentistry Pllc 2001 S Shields St. Building L Fort Collins CO 80526-1489 Ph: (970) 221-5115 |
| NPI Number | 1891238283 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 01/06/2021 |
| Medicare PECOS PAC ID | 5890064299 |
|---|---|
| Medicare Enrollment ID | O20170628000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891238283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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