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General NPI Number Information
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NPI Number | 1770440356
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Entity Type | Organization
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Legal Business Name | BERTHOUD FAMILY DENTISTRY
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 408 10TH ST # 1380
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City | BERTHOUD
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State | CO
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Zip | 80513-1380
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Country | US
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Telephone | 970-532-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 1924 SEVEN LAKES DR
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City | LOVELAND
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State | CO
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Zip | 80538-4842
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Country | US
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Telephone | 760-975-9446
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | SEAN THOMAS ADAMS
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Credential | DMD
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Telephone | 760-975-9446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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