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CONSTITUTION DENTAL GROUP LLP NPI 1073057675


NPI Information

NPI: 1073057675
Provider Name: CONSTITUTION DENTAL GROUP, LLP

Doing Business As: CONSTITUTION DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7935 CONSTITUTION AVENUE
SUITE 110
COLORADO SPRINGS, CO
ZIP 80951
Phone: (719) 280-0277
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CONSTITUTION DENTAL GROUP, LLP is a general practice dentist in Colorado Springs, 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. CONSTITUTION DENTAL GROUP, LLP NPI is 1073057675. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Constitution Dental Group.

The provider's business location address is:

7935 CONSTITUTION AVENUE
SUITE 110
COLORADO SPRINGS, CO
ZIP 80951
Phone: (719) 280-0277
Fax: (719) 387-0285

The provider's authorized official is Ryan C Gardner .
The authorized official title is Owner and has the following contact phone number (719) 280-0277.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 12/15/2016.


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
11223G0001XDentistGeneral PracticeYes

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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