FORT COLLINS DENTAL GROUP, LLP (NPI# 1760771695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760771695 |
| Entity Type | Organization |
| Organization Name | FORT COLLINS DENTAL GROUP, LLP |
| Other Organization Name | FORT COLLINS DENTAL GROUP |
| Practice Address |
2310 E Harmony Rd Ste 103 Fort Collins CO 80528-3427 |
| Mailing Address |
2860 Michelle Fl 2 Irvine CA 92606-1008 |
| Practice Telephone | 9702828877 |
| Practice Fax Number | 9702261326 |
| Mailing Telephone | 7143682077 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | DR. CHARLES F RODGERS (OWNER DOCTOR) |
| Authorized Official Telephone | 9702828877 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Fort Collins Dental Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Fort Collins Dental Group, LLP | 2310 E. Harmony Road, Suite 103, Fort Collins, CO 80528 |
| Street Address |
2310 E HARMONY RD STE 103 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336634724 | Victoria Welsh | Dentist | 2310 E Harmony Rd Ste 103, Fort Collins, CO 80528-3427 | 2018-06-27 |
| 1922529775 | Elliott Rotert | Dentist | 2310 E Harmony Rd Ste 103, Fort Collins, CO 80528-3427 | 2017-07-02 |
| 1972973584 | David Pelster | Dentist | 2310 E Harmony Rd Ste 103, Fort Collins, CO 80528-3427 | 2015-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293760 | Jon R Willison | Dentist | 1903 Wilmington Dr Unit 101, Fort Collins, CO 80528-6100 | 2011-10-26 |
| 1881926970 | Endodontics of The Rockies | Dentist | 2038 Vermont Dr, Ste 201, Fort Collins, CO 80525-5754 | 2010-02-01 |
| 1447495148 | Endodontic Specialists of The Rockies | Dentist | 1331 E Prospect Rd, Building B-1, Fort Collins, CO 80525-1367 | 2008-12-09 |
| 1164610408 | Anthony F. Girardi | Dentist | 1331 E Prospect Rd Unit B1, Fort Collins, CO 80525-1367 | 2007-10-11 |
| 1306844600 | Mark Llewellyn Kochevar | Dentist | 1513 Riverside Ave, Fort Collins, CO 80524-4348 | 2005-07-11 |
| 1679127203 | Colorado Dental Specialist Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-31 |
| 1164918611 | Endodontics of The Rockies, LLC | Dentist | 1903 Wilmington Dr Unit 101, Fort Collins, CO 80528-6100 | 2018-07-09 |
| 1023530474 | David M. Jones, D.d.s., P.C. | Dentist | 1903 Wilmington Dr Unit 101, Fort Collins, CO 80528-6100 | 2017-07-07 |
| 1578922159 | Mark L. Kochevar Dmd | Dentist | 1513 Riverside Ave, Fort Collins, CO 80524-4348 | 2016-02-11 |
| 1588988190 | Center for Endodontic Care | Dentist | 1331 E Prospect Rd, Bldg. B-1, Fort Collins, CO 80525-1367 | 2010-03-25 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
Please comment or provide details below to improve the information on FORT COLLINS DENTAL GROUP, LLP.
| 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.