Organization · Type 2 NPI

Colorado Springs Pediatric Dentistry, PC

Pediatric Dentistry · Canon City, CO

NPI number 1881297273 Active

Practice location

1335 Phay Ave Ste C
Canon City, CO 81212-2349

Call (719) 522-0123 Map

Fax (719) 285-8599

Mailing address

9480 Briar Village Pt Ste 301
Colorado Springs, CO 80920-7923

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

NPI record

NPI: 1881297273
Entity type: Organization (Type 2)
Issued: Nov 18, 2020
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Colorado Springs Pediatric, PC

Other names

Colorado Springs Pediatric Dentistry · doing business as

Authorized official

Cassie Michelle Sears
Practice Manager
(719) 522-0123

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881297273

Colorado Springs Pediatric Dentistry, PC's National Provider Identifier is 1881297273, issued on Nov 18, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Canon City, CO. The record was last updated on Nov 18, 2020.