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FOX CREEK FAMILY DENTAL LONGMONT
NPI 1053830737
Clinic/Center - Dental in Longmont, CO

Active since September 14, 2017
1610 PACE ST UNIT 100, LONGMONT, CO 80504(303) 772-9966 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Fox Creek Family Dental Longmont NPPES

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

FOX CREEK FAMILY DENTAL LONGMONT (NPI 1053830737) is a healthcare organization registered as a dental in Longmont, Colorado and active in the NPI registry since September 2017. The organization lists Ryan Koenig, Owner, as its authorized official.

NPPES Registry Identity

NPI1053830737
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFOX CREEK FAMILY DENTAL LONGMONT
Location Address1610 PACE ST UNIT 100Longmont, CO 80504-2239
Mailing Address1610 Pace St Unit 100Longmont, CO 80504-2239 · (303) 772-9966
Phone(303) 772-9966
Organization SubpartNo
Authorized OfficialRyan KoenigOwner · (303) 772-9966
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1053830737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1610 PACE ST UNIT 100, Longmont, CO 80504
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH GENTRY DDS
Dentist (General Practice)
1610 PACE ST UNIT 100
LONGMONT, CO 80504
Weld County (033) 772-9966
DR. PATRICK BARONE D.D.S.
Dentist
1610 PACE ST UNIT 100
LONGMONT, CO 80504
Weld County (303) 622-5399

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 Fox Creek Family Dental Longmont's NPI number?

The NPI number for Fox Creek Family Dental Longmont is 1053830737. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Fox Creek Family Dental Longmont located?

Fox Creek Family Dental Longmont is located at 1610 Pace St Unit 100, Longmont, CO 80504. The listed phone number is (303) 772-9966.

What is Fox Creek Family Dental Longmont's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fox Creek Family Dental Longmont was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.