MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI 1376197046
Dentist - General Practice in Fort Collins, CO

Active since July 30, 2019
3541 E HARMONY RD STE 130, FORT COLLINS, CO 80528(970) 829-8209 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About MY LOCAL COLORADO DENTAL PRACTICE, LLC

This page provides the complete NPI Profile along with additional information for My Local Colorado Dental Practice, Llc, a provider established in Fort Collins, Colorado operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1376197046 assigned on July 2019. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. My Local Colorado Dental Practice, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Johnson (Credentialing Specialist)

NPI
1376197046 Verify this NPI
Provider Name
MY LOCAL COLORADO DENTAL PRACTICE, LLC
Entity Type
Organization
Location Address
3541 E HARMONY RD STE 130 FORT COLLINS, CO 80528
Location Phone
(970) 829-8209
Mailing Address
3541 E HARMONY RD STE 130 FORT COLLINS, CO 80528
Mailing Phone
(970) 829-8209
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-30-2019
Last Update Date
07-30-2019
Code Navigator

A dentist like My Local Colorado Dental Practice, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE JOHNSON

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(509) 315-8338

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Periodontics)
3541 E HARMONY RD STE 130
FORT COLLINS, CO 80528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376197046, enumerated as an "organization" on July 30, 2019.

The provider is located at 3541 E HARMONY RD STE 130 FORT COLLINS, CO 80528 and the phone number is (970) 829-8209.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.