National Provider Identifier Database

MEDICAID DENTAL HOME
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

MEDICAID DENTAL HOME
2125 E LA SALLE ST
COLORADO SPRINGS, CO80909-2274
Phone: 719-310-3315
Fax:
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X
Dental Hygienist 124Q00000X

* Indicates primary specialty

NPI Profile & details for MEDICAID DENTAL HOME

NPI Number 1336570167
Legal business name
LBN
MEDICAID DENTAL HOME
Authorized official MICHELLE VACHA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/04/2013
Last updated 12/04/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 8109
  • CO License #: 903783
  • CO Medicaid: 84887761

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

There are currently no reviews for MEDICAID DENTAL HOME


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