| Hero Dental Of Springs Pc | |
|
3630 Austin Bluffs Pkwy Ste 100-120 Colorado Springs CO 80918-6661 | |
| (719) 304-5400 | |
| Not Available |
| Full Name | Hero Dental Of Springs Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3630 Austin Bluffs Pkwy Ste 100-120, Colorado Springs, Colorado |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hero Dental Of Springs Pc 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Hero Dental Of Springs Pc 3630 Austin Bluffs Pkwy Ste 100-120 Colorado Springs CO 80918-6661 Ph: (719) 304-5400 |
| NPI Number | 1356944557 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356944557 | NPI | - | NPPES |
| 52001873 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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