Edgar Paul Poremba, DDS MSD is a
Dentist - Orthodontics And Dentofacial Orthopedics based in Colorado Spgs, Colorado. Edgar Paul Poremba is licensed to practice in Colorado (license number 105719) and his current practice location is
2997 Broadmoor Valley Rd, Colorado Spgs, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 576-0149.
NPI number for Edgar Paul Poremba is 1659594232 and his current mailing address is 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659594232.
Healthcare Provider's Profile
Full Name | Edgar Paul Poremba |
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Gender | Male |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659594232
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Edgar Paul Poremba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659594232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 105719 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgar Paul Poremba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edgar Paul Poremba, DDS MSD 2997 Broadmoor Valley Rd, Colorado Spgs, CO 80906-4405 Ph: (719) 576-0149 | Edgar Paul Poremba, DDS MSD 2997 Broadmoor Valley Rd, Colorado Spgs, CO 80906-4405 Ph: (719) 576-0149 |
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