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

Fountain Modern Dentistry and Orthodontics, LLP

Organization General Practice Dentistry · NPI 1730434622

Fountain Modern Dentistry and Orthodontics, LLP is a General Practice Dentistry in Irvine, California. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2860 Michelle Drive 2nd Fl
Irvine, CA 92606
Phone: (714) 368-2077
Fax: (714) 368-2092
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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 9356 (CO)

Record details

NPI number1730434622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Rodgers — Dds/ Owner · (719) 382-4936
Other names Fountain Modern Dentistry And Orthodontics
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012
Mailing address6940 Mesa Ridge Parkway, Fountain, CO 80817

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