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Contact Information

ACADEMY KIDS DENTAL CENTER PC
2436 S ACADEMY BLVD
COLORADO SPRINGS, CO80916-2408
 Phone: 719-391-2336
 Fax: 719-391-1625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACADEMY KIDS DENTAL CENTER PC · (Female)

NPI Number 1487683330
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2006
Last updated 11/18/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 7992
  • CO Medicaid 66286026
  • CO Other 1630472 UNITED CONCORDIA ID
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.

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