| Colorado Springs Pediatric Dentistry, Pc | |
|
1335 Phay Ave Ste C Canon City CO 81212-2349 | |
| (719) 522-0123 | |
| (719) 285-8599 |
| Full Name | Colorado Springs Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1335 Phay Ave Ste C, Canon City, Colorado |
| Authorized Official Name and Position | Cassie Michelle Sears (PRACTICE MANAGER) |
| Authorized Official Contact | 7195220123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Springs Pediatric Dentistry, Pc 9480 Briar Village Pt Ste 301 Colorado Springs CO 80920-7923 Ph: (719) 522-0123 | Colorado Springs Pediatric Dentistry, Pc 1335 Phay Ave Ste C Canon City CO 81212-2349 Ph: (719) 522-0123 |
| NPI Number | 1881297273 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881297273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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