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SERENE DENTAL HYGIENE NPI 1982074142


NPI Information

NPI: 1982074142
Provider Name: SERENE DENTAL HYGIENE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
7770 N UNION BLVD
SUITE A
COLORADO SPRINGS, CO
ZIP 80920
Phone: (719) 290-9804
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SERENE DENTAL HYGIENE is a point of service in Colorado Springs, CO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SERENE DENTAL HYGIENE NPI is 1982074142. The provider is registered as an organization entity type.

The provider's business location address is:

7770 N UNION BLVD
SUITE A
COLORADO SPRINGS, CO
ZIP 80920-087
Phone: (719) 290-9804

The provider's authorized official is Lori Jo Kinzer .
The authorized official title is President and has the following contact phone number (719) 290-9804.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceDH000902947COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245606268MEDICAIDCOLORADO

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: 4/28/2024

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