MEDICARE: BERTHOUD FAMILY DENTISTRY

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	:	1770440356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERTHOUD FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	1924 SEVEN LAKES DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-4842
Country	:	US
Telephone Number	:	760-975-9446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 SEVEN LAKES DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-4842
Country	:	US
Telephone Number	:	760-975-9446
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	SEAN THOMAS ADAMS
Credential	:	DMD
Telephone Number	:	760-975-9446

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/12/2026

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