PHILLIP EARL PONTIOUS DMD NPI 1154544666

NPI Information

NPI: 1154544666
Provider Name: PHILLIP EARL PONTIOUS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1204 MAIN ST
CANON CITY
CANON CITY, CO
ZIP 81212
Phone: (719) 275-2887
Get Directions

Phillip Earl Pontious, DMD is a general practice dentist in Canon City, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Phillip Earl Pontious, DMD NPI is 1154544666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1204 MAIN ST
CANON CITY
CANON CITY, CO
ZIP 81212-506
Phone: (719) 275-2887
Fax: (719) 275-2761

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	9227	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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