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FISHERS PEAK DENTISTRY PLLC
NPI 1790427748
Dentist - General Practice in Trinidad, CO

Active since April 11, 2022
1723 E MAIN ST, TRINIDAD, CO 81082(719) 846-4028 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fishers Peak Dentistry Pllc NPPES

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

FISHERS PEAK DENTISTRY PLLC (NPI 1790427748) is a healthcare organization registered as a general practice in Trinidad, Colorado and active in the NPI registry since April 2022. The organization lists Gavin Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1790427748
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFISHERS PEAK DENTISTRY PLLC
Location Address1723 E MAIN STTrinidad, CO 81082-2017
Mailing Address1723 E Main StTrinidad, CO 81082-2017
Phone(719) 846-4028
Organization SubpartNo
Authorized OfficialGavin WilsonOwner · (719) 846-4028
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1790427748 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.
1723 E MAIN ST, Trinidad, CO 81082
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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. PAUL A ANDREATTA D.D.S. P.C.
Dentist (General Practice)
1723 E MAIN ST
TRINIDAD, CO 81082
Las Animas County (719) 846-4028
PAUL A. ANDREATTA DDS PC
Dentist
1723 E MAIN ST
TRINIDAD, CO 81082
Las Animas County (719) 846-4028

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 Fishers Peak Dentistry PLLC's NPI number?

The NPI number for Fishers Peak Dentistry PLLC is 1790427748. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Fishers Peak Dentistry PLLC located?

Fishers Peak Dentistry PLLC is located at 1723 E Main St, Trinidad, CO 81082. The listed phone number is (719) 846-4028.

What is Fishers Peak Dentistry PLLC'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 Fishers Peak Dentistry PLLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.