Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS
NPI 1376453472
Dentist - Periodontics in Fort Collins, CO

Q: What is Poudre Valley Periodontics & Dental Implants's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since September 10, 2026

1029 ROBERTSON ST, FORT COLLINS, CO 80524(970) 447-3746(970) 447-3747 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Poudre Valley Periodontics & Dental Implants NPPES

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

POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS (NPI 1376453472) is a healthcare organization registered as a periodontics in Fort Collins, Colorado and active in the NPI registry since September 2026. The organization lists David Clark Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1376453472

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePOUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS

Location Address1029 ROBERTSON STFort Collins, CO 80524-3926

Mailing Address1029 Robertson StFort Collins, CO 80524-3926 · (970) 447-3746 · Fax (970) 447-3747

Phone(970) 447-3746

Fax(970) 447-3747

Organization SubpartNo

Authorized OfficialDavid Clark JohnsonPresident/owner · (970) 447-3746

Enumeration DateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1376453472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1029 ROBERTSON ST, Fort Collins, CO 80524

Open in Google Maps ↗

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 5

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

DR. DAVID CLARK JOHNSON DDS, MS

Dentist (Periodontics)