Radiant Dental Health

LBN: Radiant Dental Health
Radiant Dental Health is an health care organization with primary practice located at 313 W Drake Rd , Fort Collins CO 80526-2846. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Radiant Dental Health can be contacted via phone (970) 422-1122, or through Caldon, Nathaniel Boone via phone (970) 422-1122.

Contact Information

Primary practice address
313 W Drake Rd Fort Collins CO 80526-2846
Fax: (970) 425-1243
Website:
Authorized official contact:
Name: Caldon, Nathaniel Boone Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1063041374
LBN Legal business name Radiant Dental Health
DBA Doing business as
Authorized official Caldon, Nathaniel Boone Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - about 4 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 1063041374 NPPES
Mississippi MEDICAID 1598950669

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