| Palmer Park Dentistry, Llc | |
|
3208 N Academy Blvd Suite 140 Colorado Springs CO 80917-5161 | |
| (719) 597-3700 | |
| (719) 597-7507 |
| Full Name | Palmer Park Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3208 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sterling Leon Rogers (OWNER) |
| Authorized Official Contact | 7195973700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer Park Dentistry, Llc 3208 N Academy Blvd Suite 140 Colorado Springs CO 80917-5161 Ph: (719) 597-3700 | Palmer Park Dentistry, Llc 3208 N Academy Blvd Suite 140 Colorado Springs CO 80917-5161 Ph: (719) 597-3700 |
| NPI Number | 1689061079 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689061079 | NPI | - | NPPES |
| 38873362 | Medicaid | CO | |
| 97401862 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00007989 (Colorado) | Primary |
| 122300000X | Dentist | 00201875 (Colorado) | Secondary |
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 | |
My Local Colorado Dental Practice, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bloomington St Unit 160, Colorado Springs, CO 80922 Phone: 719-599-0665 | |
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 |