Organization
COMFORT DENTAL THOMPSON VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FILLMORE DDS (MANAGING MEMBER/DENTIST)
(970) 962-9995
Entity
Organization
Contact information
Practice address
1405 10TH ST SW, LOVELAND, CO 80537-2301
(970) 962-9995
(970) 461-0693
Mailing address
1405 10TH ST SW, LOVELAND, CO 80537-2301
(970) 962-9995
(970) 461-0693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9088
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62382047
—
CO
Enumeration date
08/08/2006
Last updated
03/07/2011
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