Individual provider · Type 1 NPI

Tyler Haradon

Periodontics · Colorado Springs, CO

NPI number 1972173706 Active

Practice location

685 Citadel Dr E Ste 200A
Colorado Springs, CO 80909-5315

Call (719) 574-4867 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X204636 (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 1972173706

Tyler Haradon's National Provider Identifier is 1972173706, issued on Jun 24, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 24, 2021.