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ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS PC NPI 1932358496


NPI Information

NPI: 1932358496
Provider Name: ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9334 GRAND CORDERA PKWY
COLORADO SPRINGS, CO
ZIP 80924
Phone: (719) 282-6666
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ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS PC is a pediatric dentistry dentist in Colorado Springs, CO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ERICKSON PEDIATRIC DENTISTRY & ORTHODONTICS PC NPI is 1932358496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9334 GRAND CORDERA PKWY
COLORADO SPRINGS, CO
ZIP 80924-000
Phone: (719) 282-6666
Fax: (719) 203-5477

The provider's authorized official is Dawn Rush .
The authorized official title is Business Manager and has the following contact phone number (719) 282-6666.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 6/10/2022.


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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsDEN 9665COLORADONo
21223P0221XDentistPediatric DentistryDEN 9665COLORADOYes

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
19000146212MEDICAIDCOLORADO

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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