CHEYENNE MOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
NPI 1336512540
Dentist - General Practice in Fountain, CO

Active since November 10, 2015
4451 VENETUCCI BLVD, SUITE 160, FOUNTAIN, CO 80906(719) 800-0399(719) 359-4158 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Cheyenne Mountain Modern Dentistry And Orthodontics NPPES

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

CHEYENNE MOUNTAIN MODERN DENTISTRY AND ORTHODONTICS (NPI 1336512540) is a healthcare organization registered as a general practice in Fountain, Colorado and active in the NPI registry since November 2015. The organization lists Ryan M Pfeifer, Owner, as its authorized official.

NPPES Registry Identity

NPI1336512540
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHEYENNE MOUNTAIN MODERN DENTISTRY, LLP
Location Address4451 VENETUCCI BLVD, SUITE 160Fountain, CO 80906
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Fax(719) 359-4158
Organization SubpartNo
Authorized OfficialRyan M PfeiferOwner · (719) 800-0399
Enumeration DateNovember 10, 2015
✔ NPI 1336512540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4451 VENETUCCI BLVD, Fountain, CO 80906

Other Names 1

Doing Business AsCheyenne Mountain Modern Dentistry And Orthodontics

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 Cheyenne Mountain Modern Dentistry, LLP's NPI number?

The NPI number for Cheyenne Mountain Modern Dentistry, LLP is 1336512540. It was assigned to this organization in the NPPES registry on November 10, 2015. The provider is doing business as Cheyenne Mountain Modern Dentistry And Orthodontics.

Where is Cheyenne Mountain Modern Dentistry, LLP located?

Cheyenne Mountain Modern Dentistry, LLP is located at 4451 Venetucci Blvd Suite 160, Fountain, CO 80906. The listed phone number is (719) 800-0399.

What is Cheyenne Mountain Modern Dentistry, LLP'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 Cheyenne Mountain Modern Dentistry, LLP was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.