Eric Pettine, DDS in Fort Collins, CO - Dentist

Eric Pettine, DDS is a Dentist - General Practice based in Fort Collins, Colorado. Eric Pettine is licensed to practice in Colorado (license number 3401) and his current practice location is 333 W Drake Rd Ste 120, Fort Collins, Colorado. He can be reached at his office (for appointments etc.) via phone at (970) 223-6100.

NPI number for Eric Pettine is 1043361215 and his current mailing address is 510 Lakeside Pl, Windsor, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043361215.

Contact Information

	Eric Pettine, DDS
	333 W Drake Rd Ste 120, Fort Collins, CO 80526-2883
	(970) 223-6100
	Not Available

Healthcare Provider's Profile

Full Name	Eric Pettine
Gender	Male
Speciality	Dentist - General Practice
Location	333 W Drake Rd Ste 120, Fort Collins, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043361215
Provider Enumeration Date: 01/15/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Eric Pettine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043361215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3401 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric Pettine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Eric Pettine, DDS 510 Lakeside Pl, Windsor, CO 80550-4663 Ph: () -	Eric Pettine, DDS 333 W Drake Rd Ste 120, Fort Collins, CO 80526-2883 Ph: (970) 223-6100

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Dentist in Fort Collins, CO

Dr. David Kimball Walton, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4026 S Timberline Rd Unit 120, Fort Collins, CO 80525 Phone: 970-482-2210 Fax: 970-482-2208
Leslie G. Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1025 Robertson Street, Fort Collins, CO 80524 Phone: 970-493-4313 Fax: 970-407-8519
Aden Peterson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 Phone: 970-980-2145
Dr. James C Braun, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St, Fort Collins, CO 80525 Phone: 970-221-2444
Dr. Shane Daniel Bergo, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 730 Whalers Way, Suite 300, Fort Collins, CO 80525 Phone: 970-229-1404 Fax: 970-229-1422
Dr. Marykate Rusnak, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Mitchell Drive, Suite 40, Mountain Kids Pediatric Dentistry, Fort Collins, CO 80525 Phone: 970-224-3600 Fax: 970-568-8577
Dr. Colleen Fahey Zimmer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1343 E Prospect Rd, Suite 1, Fort Collins, CO 80525 Phone: 970-221-4500 Fax: 970-221-4504

Eric Pettine, DDS - Dentist in Fort Collins, CO