OrganizationActive
College Ave Modern Dental Practice, LLC
NPI 1205358017 · Dentist · Fort Collins, CO
College Ave Modern Dental Practice, LLC is a Dentist organization in Fort Collins, CO (NPI 1205358017).
Provider details
- NPI number
- 1205358017
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Scott Frederick, Owner/Dentist(970) 233-8933
- License
- 10115 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3617 S College Ave Unit B
Fort Collins, CO 80525-3009
Phone: (970) 233-8933
Fax: (888) 790-7062
Street-level locationGet directions
Mailing address
3617 S College Ave Unit B
Fort Collins, CO 80525-3009
Other names (DBA / former)
- Doing business as
- College Ave Modern Dental
- Doing business as
- College Ave Modern Dental
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is College Ave Modern Dental Practice, LLC's NPI number?
- College Ave Modern Dental Practice, LLC's National Provider Identifier (NPI) is 1205358017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Ave Modern Dental Practice, LLC?
- College Ave Modern Dental Practice, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is College Ave Modern Dental Practice, LLC located?
- College Ave Modern Dental Practice, LLC's practice location on file with NPPES is 3617 S College Ave Unit B, Fort Collins, CO 80525-3009.
- What is College Ave Modern Dental Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for College Ave Modern Dental Practice, LLC is (970) 233-8933.
- Who is the authorized official for College Ave Modern Dental Practice, LLC?
- The authorized official listed on College Ave Modern Dental Practice, LLC's NPPES record is Scott Frederick, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Ave Modern Dental Practice, LLC's NPI active?
- Yes — College Ave Modern Dental Practice, LLC's NPI (1205358017) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.