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

Fountain Dental Practice, LLC

Organization General Practice Dentistry · NPI 1184162513

Fountain Dental Practice, LLC is a General Practice Dentistry in Fountain, Colorado. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
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

8085 Fountain Mesa Rd
Fountain, CO 80817-1591
Phone: (719) 382-5500
Fax: (888) 790-7062
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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
Periodontics Taxonomy 1223P0300X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1184162513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Frederick — Owner/Doctor · (719) 382-5500
Other names Fountain Dental Center, Llc
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017
Mailing address8085 Fountain Mesa Rd, Fountain, CO 80817-1591

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