NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MEDICAID DENTAL HOME
2125 E LA SALLE ST
COLORADO SPRINGS, CO80909-2274
 Phone: 719-310-3315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for MEDICAID DENTAL HOME · (Female)

NPI # 1336570167
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2013
Last updated 12/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 8109
  • CO License # 903783
  • CO Medicaid 84887761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MEDICAID DENTAL HOME

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MEDICAID DENTAL HOME
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Dentist
ANDREW S MILLER, DDS
1714 N CIRCLE DRIVE
COLORADO SPRINGS, CO
ANDE C WEST, RDH
701 CITADEL DRIVE EAST
COLORADO SPRINGS, CO
STEPHEN G SOSDIAN, DDS
523 N NEVADA AVE
COLORADO SPRINGS, CO
STEPHANIE OLSEN
2864 S CIRCLE DR
COLORADO SPRINGS, CO
CONSTITUTION DENTAL GROUP, LLP
7935 CONSTITUTION AVENUE
COLORADO SPRINGS, CO
COLORADO SPRINGS DENTAL PROFESSIONALS PC
1675 BRIARGATE BLVD STE C
COLORADO SPRINGS, CO
NICHOLAS RUANA, DMD
EVANS ARMY COMMUNITY HOSPITAL
FORT CARSON, CO
DALE L PAVEK, DDS
USA DENTAC, 1631 WETZEL BLVD
COLORADO SPRINGS, CO
JESS G ADAMS, DDS
332 MAIN STREET
COLORADO SPRINGS, CO
BRETT JESSEN
10TH MEDICAL GROUP
U.S. AIR FORCE ACADEMY, CO

  View all Dentist
v2.403