Fort Collins Modern Dentistry, LLP
NPI #1013224062 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1013224062
- Entity Type
- Organization
- Organization Name
- Fort Collins Modern Dentistry, LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 10, 2010
- Last Updated
- Sep 10, 2010
Practice Location
- Address
- 2203 SOUTH COLLEGE AVENUE
- Address 2
- SUITE 100
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525
- Phone
- (970) 482-4455
Authorized Official
- Name
- DR. CHARLES F RODGERS, DDS
- Title
- OWNER
- Phone
- (970) 482-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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