# SHAWN M CUSTER DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park View Family Dental Ft. Collins
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255083473
- **Authorized official:** SHAWN MICHAEL CUSTER (OWNER)
- **Authorized official phone:** (402) 721-8200

## Contact information

- **Practice address:** 3950 JOHN F KENNEDY PKWY UNIT E, FORT COLLINS, CO 80525-3074
- **Practice address phone:** (970) 732-4371
- **Mailing address:** 3950 JOHN F KENNEDY PKWY UNIT E, FORT COLLINS, CO 80525-3074
- **Mailing address phone:** (970) 732-4371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 01/19/2022