| Fort Collins Modern Dentistry | |
|
2203 South College Avenue Suite 100 Fort Collins CO 80525 | |
| (970) 482-4455 | |
| (970) 482-1804 |
| Full Name | Fort Collins Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2203 South College Avenue, Fort Collins, Colorado |
| Authorized Official Name and Position | Charles F Rodgers (OWNER) |
| Authorized Official Contact | 9704824455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Collins Modern Dentistry 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 368-2077 | Fort Collins Modern Dentistry 2203 South College Avenue Suite 100 Fort Collins CO 80525 Ph: (970) 482-4455 |
| NPI Number | 1013224062 |
|---|---|
| Provider Enumeration Date | 09/10/2010 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013224062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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