Provider Demographics
NPI:1710282793
Name:ABSOLUTE DENTAL, P.C.
Entity Type:Organization
Organization Name:ABSOLUTE DENTAL, P.C.
Other - Org Name:ABSOLUTE DENTAL, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-482-6034
Mailing Address - Street 1:1015 S TAFT HILL RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4240
Mailing Address - Country:US
Mailing Address - Phone:970-482-6034
Mailing Address - Fax:970-980-2143
Practice Address - Street 1:1015 S TAFT HILL RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4240
Practice Address - Country:US
Practice Address - Phone:970-482-6034
Practice Address - Fax:970-980-2143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental