BRADLEY PACKER


Address: 3506 Lochwood Dr Ste A, Fort Collins, CO 80525-2995
Phone: 9703772557

BRADLEY PACKER (NPI# 1679966550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679966550
Entity Type Individual
Full Name BRADLEY PACKER
Credential D.M.D
Practice Address 3506 Lochwood Dr Ste A
Fort Collins
CO 80525-2995
Mailing Address 5917 Cross Creek Dr
Fort Collins
CO 80528-3152
Practice Telephone 9703772557
Mailing Telephone 5072696620
Enumeration Date 2015-03-16
Last Update Date 2020-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DEN.00202833 CO Dental Providers

Other Providers BRADLEY PACKER

NPI Name Taxonomy Address Enumeration
1780662734 Bradley D Packer Optometrist 7840 E State Route 69 Ste A5a, Prescott Valley, AZ 86314-2280 2006-01-09

Office Location

Street Address 3506 LOCHWOOD DR STE A
City FORT COLLINS
State CO
Zip Code 80525-2995

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356950299 Kelly Westbrook Schmalstich Clinical Nurse Specialist 2020 Blue Yonder Way, Fort Collins, CO 80525 2020-07-27
1912522376 Tender Gifts Midwifery and Birth Center Clinical Nurse Specialist 1817 Jessup Dr Farms, Fort Collins, CO 80525 2020-06-11
1114566015 Andrea Nicole Brogdon Acupuncturist 2501 S. College Ave, Fort Collins, CO 80525 2019-12-26
1013553593 Kids Overcoming, LLC Home Health 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 2019-11-20
1568019966 Julia Heithoff Behavioral Analyst 1100 Haxton Dr #115, Fort Collins, CO 80525 2019-08-20
1144875246 Harmony Smiles Dentistry, LLP Dentist 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 2019-08-06
1841774502 Shannon L Harris Social Worker 305 Carpenter Road, Fort Collins, CO 80525 2018-09-19
1306332101 Joshua Evans Brooks Optometrist 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 2018-07-03
1285120212 Danae Fuqua Physical Medicine & Rehabilitation Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 2018-07-02
1528552890 Megan E Locke Audiologist 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 2018-06-19
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447876214 Nicole Rachel Krois Dentist 2708 Rockford Dr Unit 103, Fort Collins, CO 80525-7688 2020-06-17
1154946507 Jacob Adkins Dentist 4032 S College Ave # A1, Fort Collins, CO 80525-3076 2020-06-11
1144875246 Harmony Smiles Dentistry, LLP Dentist 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 2019-08-06
1205358017 College Ave Modern Dental Practice, LLC Dentist 3617 S College Ave Unit B, Fort Collins, CO 80525-3009 2017-07-13
1417496548 Marisela Arritola Dentist 4032 S College Ave Unit A1, Fort Collins, CO 80525-3076 2017-02-22
1366986598 John D Siegmund Dds PC Dentist 4360 Boardwalk Dr, Ste 100, Fort Collins, CO 80525-5932 2016-12-07
1164976171 Robert Marin Dentist 5233 Boardwalk Dr, Unit B-204, Fort Collins, CO 80525-7341 2016-08-08
1558744227 Ryan Rush Dds Pllc Dentist 383 W Drake Rd Ste 101, Fort Collins, CO 80526-2884 2015-06-30
1093126237 Clear Creek Dental Dentist 373 W Drake Rd Ste 2, Fort Collins, CO 80526-2881 2014-05-09
1225388606 Blake Spencer Barney Dentist 1525 Riverside Avenue, Suite B, Fort Collins, CO 80524 2012-09-13
Find all providers in FORT COLLINS

Competitor

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City FORT COLLINS
Zip Code 80525

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Dataset Information

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.

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