Individual provider · Type 1 NPI

Justin Tullis, D.D.S

Periodontics · Colorado Springs, CO

NPI number 1497115752 Active

Practice location

320 E Fontanero St Ste 307
Colorado Springs, CO 80907-7526

Fax (719) 475-9009

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Periodontics Primary	1223P0300X	204256 (CO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1497115752

Justin Tullis, D.D.S's National Provider Identifier is 1497115752, issued on Mar 1, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 19, 2022.