| My Local Colorado Dental Practice, Llc | |
|
3715 Bloomington St Unit 160 Colorado Springs CO 80922-3207 | |
| (719) 599-0665 | |
| Not Available |
| Full Name | My Local Colorado Dental Practice, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3715 Bloomington St Unit 160, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5093158338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Local Colorado Dental Practice, Llc 3715 Bloomington St Unit 160 Colorado Springs CO 80922-3207 Ph: () - | My Local Colorado Dental Practice, Llc 3715 Bloomington St Unit 160 Colorado Springs CO 80922-3207 Ph: (719) 599-0665 |
| NPI Number | 1003460726 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003460726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Craig R. Parlet D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Briargate Blvd, Suite B, Colorado Springs, CO 80920 Phone: 719-528-6200 Fax: 719-534-9713 | |
Johnson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921 Phone: 719-572-5150 | |
Colorado Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 W Baptist Rd, Colorado Springs, CO 80921 Phone: 719-203-7375 | |
Co Specialty Dental Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Tejon St Ste 200, Colorado Springs, CO 80903 Phone: 719-596-3113 | |
Rand L. Redfern, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Citadel Dr E, Colorado Springs, CO 80909 Phone: 719-599-9090 Fax: 719-573-9091 | |
Premier Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Citadel Dr E, Suite 302, Colorado Springs, CO 80909 Phone: 719-596-1011 Fax: 719-596-6748 |