Zachary R Shelton, DDS
Dentist, General Practice in Fort Collins, CO. Individual provider (NPI-1).
NPI number1043624331
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1043624331
- Entity type
- Individual (NPI-1)
- Name
- Zachary R Shelton
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2014
- Last updated
- May 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN00202522 | CO | Yes |
Practice location
1635 Blue Spruce DrFort Collins, CO 80524-5427
Phone 970-494-4040 · Fax 970-494-4050
Mailing address
203 S Rollie AveFort Lupton, CO 80621-1508
Phone 303-286-4560 · Fax 303-286-4589
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