Organization
FORT COLLINS KIDS DENTISTRY
Active
Other names
Fort Collins Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANTHONY GUIDO DDS, MBR (OWNER/DENTIST)
(970) 672-7525
Entity
Organization
Contact information
Practice address
1241 RIVERSIDE AVE, FORT COLLINS, CO 80524-3204
(970) 632-0306
(970) 797-2207
Mailing address
313 WOOD ST, FORT COLLINS, CO 80521-1954
(970) 672-7525
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
02786092
CO
1223P0221X
Pediatric Dentistry
Primary
20161161840
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13430734
—
CO
05
—
41489268
—
CO
05
—
90382587
—
CO
Enumeration date
05/07/2016
Last updated
09/01/2021
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