Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER S DOMAGALA, DDS
Active Sole ProprietorDR. PETER S DOMAGALA, DDS is a Periodontology healthcare provider located in DURANGO, Colorado. NPI 1356415673 is currently active in the NPPES registry. Verify at CMS.
Periodontology · DURANGO, CO
Registration Details
- NPI Number
- 1356415673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2006 (19.760177322019 yrs)
- Last Updated
- Sep 18, 2022
- Licenses
-
021-001744 (IL)DEN.00203804 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2323 W 2ND AVE STE EDURANGO, CO, 813014646Browse CO providers · Browse ZIP 81301
- Phone
- 9704033299
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in DURANGO, CO
| Name | Credential | NPI |
|---|---|---|
| DR. MARK STEPHEN BLUE | — | 1033190251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.