ADVANCED PROSTHODONTICS (NPI# 1568965812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568965812 |
| Entity Type | Organization |
| Organization Name | ADVANCED PROSTHODONTICS |
| Other Organization Name | FRONT RANGE DENTURES AND PROSTHODONTICS |
| Practice Address |
1006 Robertson St Ste 210 Fort Collins CO 80524-3920 |
| Practice Telephone | 9704939001 |
| Mailing Telephone | 9704939001 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | RON BERGLOFF (MANAGER) |
| Authorized Official Telephone | 7204316060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D202404 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Front Range Dentures and Prosthodontics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Advanced Prosthodontics PLLC | 3601 South Clarkson St, Ste 400, Englewood, CO 80113 |
| Street Address |
1006 ROBERTSON ST STE 210 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154634707 | Justin Kimball Liddle | Dentist | 2001 S Shields St Ste B1, Fort Collins, CO 80526-1829 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765431 | Castle Rock Dental Prosthetics and Implants, P.C. | Dentist | 2356 Meadows Blvd Ste 170b, Castle Rock, CO 80109-8411 | 2019-11-21 |
| 1124531975 | Ryan Lewis, Dmd, Pllc | Dentist | 1325 Hover St Ste 103, Longmont, CO 80501-3137 | 2017-11-14 |
| 1932567690 | Aaron Bellis | Dentist | 8751 E Hampden Ave Ste C6, Denver, CO 80231-4930 | 2016-02-09 |
| 1942673397 | Colorado Springs Dental Services, PC | Dentist | 251 E Fountain Blvd Unit 100, Colorado Springs, CO 80903-4160 | 2015-11-06 |
| 1831531748 | Kaushal Kumar Dhawan | Dentist | 5161 E Arapahoe Rd Ste 255, Centennial, CO 80122-4810 | 2013-07-19 |
| 1912264318 | Paul Conrad Doran | Dentist | 9881 Foxhill Cir, Highlands Ranch, CO 80129-4330 | 2012-04-23 |
| 1235410200 | John Chun-fu Chen | Dentist | 6240 S Main St Ste 215, Aurora, CO 80016-5413 | 2011-09-06 |
| 1568694305 | Gordon N Gates Dds, Msd, PC | Dentist | 350 Broadway St Ste 201, Boulder, CO 80305-3338 | 2009-08-12 |
| 1164697330 | Neil Gary Dobro | Dentist | 3737 E 1st Ave, Suite A, Denver, CO 80206-7510 | 2008-04-28 |
| 1821268871 | Darrel Elgin Kneupper | Dentist | 1106 W Cheyenne Rd, Colorado Springs, CO 80906-2460 | 2008-03-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.