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

Four Corners Family Dental-Co, LLC

Organization Dentist · NPI 1003295478

Four Corners Family Dental-Co, LLC is a Dentist in Pagosa Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
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

308 N Pagosa St
Pagosa Springs, CO 81147
Phone: (970) 507-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.0000111 (CO)

Record details

NPI number1003295478
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFour Corners Family Dental, LLC
Authorized official Jennifer Mann — Office Manager · (505) 320-2942
NPI enumeratedMay 19, 2015
Last updated in NPPESMay 19, 2015
Mailing address3501 N Butler Ave Ste 104, Farmington, NM 87401

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