Fountain Dental Practice, LLC
NPI #1184162513 in Fountain, Colorado
Provider Information
- NPI Number
- 1184162513
- Entity Type
- Organization
- Organization Name
- Fountain Dental Practice, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 6, 2017
- Last Updated
- Feb 6, 2017
Practice Location
Authorized Official
- Name
- SCOTT FREDERICK, DDS
- Title
- OWNER/DOCTOR
- Phone
- (719) 382-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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