MEDICARE: HARBOR DENTAL PROFESSIONAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1720947930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR DENTAL PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	2726 ILLINOIS DR APT 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3689
Country	:	US
Telephone Number	:	970-377-2456
Fax Number	:	970-377-9681

Provider Business Practice Location Address
First Line	:	2726 ILLINOIS DR APT 101
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3689
Country	:	US
Telephone Number	:	970-377-2456
Fax Number	:	970-377-9681

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	CIARAN MURPHY
Credential	:	DDS
Telephone Number	:	970-377-2456

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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