Mr Christopher Daniel Mazzola, DDS | |
1930 S Nevada Ave, Colorado Springs, CO 80905-3407 | |
(719) 576-5566 | |
(719) 576-1100 |
Full Name | Mr Christopher Daniel Mazzola |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1930 S Nevada Ave, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427285758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN9966 (Colorado) | Primary |
1223G0001X | Dentist - General Practice | DEN-9966 (Colorado) | Secondary |
Entity Name | Traverse Dental Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336171800 PECOS PAC ID: 0446635692 Enrollment ID: O20220923002038 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Daniel Mazzola, DDS 1930 S. Nevada Ave, Colorado Springs, CO 80905-3407 Ph: (719) 576-5566 | Mr Christopher Daniel Mazzola, DDS 1930 S Nevada Ave, Colorado Springs, CO 80905-3407 Ph: (719) 576-5566 |
Dr. Paul J. Lombardi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2828 International Cir, Suite 100, Colorado Springs, CO 80910 Phone: 719-632-5700 | |
Dr. Yasufumi Yamazaki, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2436 S Academy Blvd, Colorado Springs, CO 80916 Phone: 719-331-2336 Fax: 719-391-1625 | |
Tetyana Korchynskyy, DMD, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906 Phone: 719-538-4671 | |
Dwayne Preston Hall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922 Phone: 719-638-2260 Fax: 719-638-2261 | |
Dr. Abraham Kanjappallil Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5426 N Academy Blvd, Ste 202, Colorado Springs, CO 80918 Phone: 719-266-5420 Fax: 719-266-6988 | |
Dr. Derek Allan Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6160 Tutt Blvd, Suite 140, Colorado Springs, CO 80923 Phone: 719-550-1010 Fax: 719-550-1212 | |
Dr. Alexandra Blomquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 595 Chapel Hills Dr Ste 105, Colorado Springs, CO 80920 Phone: 719-475-2511 |