Whalio Doctors

NPI 1790933414

Michael Eric Bingham, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Fort Collins, CO

Practice location

Address
4609 S Timberline Rd STE 104b, Fort Collins, CO 80528-3171
Phone
(970) 498-0196
Fax
(970) 498-0327

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DEN.00204287 (CO)
Dentist
Dental Providers Taxonomy 122300000X Licence 73742909922 (UT)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DDS100908 (CA)

Registry record

NPI
1790933414
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Sep 2008
Record last updated
30 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.