FORT MOGAN DENTAL LLC
NPI 1033650015
Dentist - General Practice in Fort Morgan, CO

Q: What is Fort Mogan Dental LLC's NPI number?

The NPI number for Fort Mogan Dental LLC is 1033650015. It was assigned to this organization in the NPPES registry on March 10, 2017.

Q: What is Fort Mogan Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 10, 2017

617 WEST PLATTE AVE, AREA A, FORT MORGAN, CO 80701(970) 867-4700(970) 867-2128 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fort Mogan Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT MOGAN DENTAL LLC (NPI 1033650015) is a healthcare organization registered as a general practice in Fort Morgan, Colorado and active in the NPI registry since March 2017. The organization lists Taci Cooper, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033650015

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFORT MOGAN DENTAL LLC

Location Address617 WEST PLATTE AVE, AREA AFort Morgan, CO 80701-9306

Mailing Address617 West Platte Ave, Area AFort Morgan, CO 80701-9306 · (970) 867-2128 · Fax (970) 867-2128

Phone(970) 867-4700

Fax(970) 867-2128

Organization SubpartNo

Authorized OfficialTaci CooperOffice Manager · (719) 383-2083

Enumeration DateMarch 10, 2017

✔ NPI 1033650015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 00202298

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 00202298 (CO)

617 WEST PLATTE AVE, Fort Morgan, CO 80701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Mogan Dental LLC's NPI number?

The NPI number for Fort Mogan Dental LLC is 1033650015. It was assigned to this organization in the NPPES registry on March 10, 2017.

Where is Fort Mogan Dental LLC located?

Fort Mogan Dental LLC is located at 617 West Platte Ave Area A, Fort Morgan, CO 80701. The listed phone number is (970) 867-4700.

What is Fort Mogan Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fort Mogan Dental LLC was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.