DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDICAID DENTAL HOME

Active Organization

MEDICAID DENTAL HOME is a Dental Public Health organization located in COLORADO SPRINGS, Colorado. NPI 1336570167 is currently active in the NPPES registry. Verify at CMS.

Dental Public Health · COLORADO SPRINGS, CO

Registration Details

NPI Number
1336570167
Provider Type
Organization
NPI Issued
Dec 4, 2013 (12.731896294535 yrs)
Last Updated
Dec 4, 2013
Licenses
903783 (CO)
8109 (CO)

Practice Information

Address
2125 E LA SALLE ST
COLORADO SPRINGS, CO, 809092274
Browse CO providers · Browse ZIP 80909
Phone
7193103315
Primary Specialty
Dental Public Health
1223D0001X
Additional Specialty
Dental Public Health

Other Dental Public Health Organizations in COLORADO SPRINGS, CO

Name NPI
MICHAEL D WONNACOTT DDS PC 1992686513
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.