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JONATHAN ANDERSON DDS PC
NPI 1366986598
Dentist in Fort Collins, CO

Active since December 07, 2016
4745 BOARDWALK DR STE D102, FORT COLLINS, CO 80525(970) 552-7874 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Jonathan Anderson Dds Pc NPPES

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

JONATHAN ANDERSON DDS PC (NPI 1366986598), doing business as Paragon Dental By Jon Anderson Dds, is a healthcare organization registered as a dentist in Fort Collins, Colorado and active in the NPI registry since December 2016. The organization lists Jonathan Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1366986598
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJONATHAN ANDERSON DDS PC
Location Address4745 BOARDWALK DR STE D102Fort Collins, CO 80525-3773
Mailing Address4360 Boardwalk Dr, Ste 100Fort Collins, CO 80525-5932 · (970) 226-2920
Phone(970) 552-7874
Organization SubpartNo
Authorized OfficialJonathan AndersonPresident · (970) 552-7874
Enumeration DateDecember 7, 2016
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1366986598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4745 BOARDWALK DR STE D102, Fort Collins, CO 80525
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Other Names 1

Doing Business AsParagon Dental By Jon Anderson Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. TRAVIS R WILLEY D.D.S.
Dentist
4745 BOARDWALK DR STE D102
FORT COLLINS, CO 80525
Larimer County (970) 223-6101
TRAVIS WILLEY, DDS PC
Dentist
4745 BOARDWALK DR STE D102
FORT COLLINS, CO 80525
Larimer County (970) 223-6101

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 Jonathan Anderson Dds PC's NPI number?

The NPI number for Jonathan Anderson Dds PC is 1366986598. It was assigned to this organization in the NPPES registry on December 7, 2016. The provider is doing business as Paragon Dental by Jon Anderson DDS.

Where is Jonathan Anderson Dds PC located?

Jonathan Anderson Dds PC is located at 4745 Boardwalk Dr Ste D102, Fort Collins, CO 80525. The listed phone number is (970) 552-7874.

What is Jonathan Anderson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jonathan Anderson Dds PC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.