Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ELIJAH FONSECA, DENTAL TECHNICIAN
Active Sole ProprietorMR. ELIJAH FONSECA, DENTAL TECHNICIAN is a Pediatric Dentistry healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1730888215 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1730888215
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2023 (3.4816420220757 yrs)
- Last Updated
- Feb 23, 2023
- License
-
R00782832 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2521 N TEJON ST REAR ALLEYCOLORADO SPRINGS, CO, 809076836Browse CO providers · Browse ZIP 80907
- Phone
- 7193089009
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in COLORADO SPRINGS, CO
| Name | Credential | NPI |
|---|---|---|
| DR. MAURICE R SALAMANDER | D.D.S., MS, FACP | 1578565669 |
| DOUGLAS BRIAN EVANS | DDS | 1336148857 |
| DR. EMILY BATSON | D.D.S. | 1336106962 |
| DR. BRANT ALAN BRADFORD | DDS | 1740230754 |
| DR. SCOTT ALLAN DRAPER | D.D.S., M.S. | 1124111406 |
| DR. FRANK EUGENE SEAMAN | DDS, MS | 1306927645 |
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.