A Country Dentist, Pllc

LBN: A Country Dentist, Pllc
A Country Dentist, Pllc is an health care organization with primary practice located at 107 W 9Th Ave , Fort Morgan CO 80701-2011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. A Country Dentist, Pllc can be contacted via phone (970) 867-2502, or through Scarpella, Pasco W via phone (303) 335-8160.

Contact Information

Primary practice address
107 W 9Th Ave Fort Morgan CO 80701-2011
Phone: (970) 867-2502
Fax: (970) 867-3795
Website:
Map and Directions
Authorized official contact:
Name: Scarpella, Pasco W Doctor of Dental Surgery (DDS)
Phone: (303) 335-8160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 106313 Colorado

Profile Details

NPI number 1669977427
LBN Legal business name A Country Dentist, Pllc
DBA Doing business as
Authorized official Scarpella, Pasco W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669977427 NPPES
Colorado MEDICAID 32871716

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