WASATCH PAYROLL LLC NPI 1114399888

NPI Information

NPI: 1114399888
Provider Name: WASATCH PAYROLL LLC
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: FOUR SEASONS DENTAL CARE
Address: 2753 JANITELL RD
COLORADO SPRINGS, CO
ZIP 80906
Phone: (719) 383-2083

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NPI Details

WASATCH PAYROLL LLC 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. WASATCH PAYROLL LLC NPI is 1114399888. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Four Seasons Dental Care.

The provider's business location address is:

2753 JANITELL RD
COLORADO SPRINGS, CO
ZIP 80906-102
Phone: (719) 383-2083
Fax: (719) 383-2047

The provider's authorized official is Brady Sefcik .
The authorized official title is Dds and has the following contact phone number (719) 383-2083.

The enumeration date for this NPI number is 10/21/2015 and was last updated on 12/9/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03889262	MEDICAID	COLORADO
2	75276062	MEDICAID	COLORADO
3	28132742	MEDICAID	COLORADO

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: 11/21/2025

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