# MOD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** KidsFirst Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346679321
- **Authorized official:** LUKE MILMONT (PEDIATRIC DENTIST)
- **Authorized official phone:** (307) 772-1793

## Contact information

- **Practice address:** 2121 MIDPOINT DR, SUITE 102, FORT COLLINS, CO 80525-4339
- **Practice address phone:** (970) 484-5437
- **Practice address fax:** (970) 484-5436
- **Mailing address:** 2121 MIDPOINT DR, SUITE 102, FORT COLLINS, CO 80525-4339
- **Mailing address phone:** (970) 484-5437
- **Mailing address fax:** (970) 484-5436

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2013
- **Last updated:** 12/01/2016