Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Mogan Dental LLC

Organization Dentist · NPI 1033650015

Fort Mogan Dental LLC is a Dentist in Fort Morgan, Colorado. Licensed in Colorado. Registered with an NPI since 2017.

Licensed in
CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

617 W Platte Ave Area A
Fort Morgan, CO 80701-9306
Phone: (970) 867-4700
Fax: (970) 867-2128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 00202298 (CO)
Dentist Taxonomy 122300000X · Licence 00202298 (CO)

Record details

NPI number1033650015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taci Cooper — Office Manager · (719) 383-2083
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 10, 2017
Mailing address617 West Platte Ave, Area A, Fort Morgan, CO 80701-9306

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