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LICENSED DENTAL HYGIENE CARE NPI 1407180540


NPI Information

NPI: 1407180540
Provider Name: LICENSED DENTAL HYGIENE CARE

Doing Business As: COMMUNITY DENTAL HEALTH, SENIOR MOBILE DENTAL, GRAND AVE

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1436 N. HANCOCK AVE
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 338-2195
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LICENSED DENTAL HYGIENE CARE is a voluntary or charitable in Colorado Springs, CO. LICENSED DENTAL HYGIENE CARE NPI is 1407180540. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Dental Health, Senior Mobile Dental, Grand Ave.

The provider's business location address is:

1436 N. HANCOCK AVE
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 338-2195
Fax: (719) 207-8110

The provider's authorized official is P. Michelle Vacha .
The authorized official title is Executive Director and has the following contact phone number (719) 310-3315.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 12/1/2020.


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
1251V00000XVoluntary or Charitable20071454175COLORADOYes

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

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