DR. MICHAEL DEAN KOFFORD (NPI# 1184637811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184637811 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DEAN KOFFORD |
| Credential | DMD |
| Practice Address |
1694 E Cheyenne Mountain Blvd Colorado Springs CO 80906-4050 |
| Mailing Address |
5152 S Nepal Way Centennial CO 80015-6402 |
| Practice Telephone | 7195384671 |
| Mailing Telephone | 3039976539 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8999 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4625 Alpglen Ct, Colorado Springs, CO 809068213 | 3039976539 |
| Street Address |
1694 E CHEYENNE MOUNTAIN BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439266 | Tetyana Korchynskyy | Dentist | 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4050 | 2020-05-22 |
| 1659675056 | Apple Orthodontix | Dentist | 1694 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4050 | 2010-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979375 | Kyle Richardson | Dentist | 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 | 2020-10-14 |
| 1740751460 | Audubon Dental Sleep Solutions LLC | Dentist | 2960 N Circle Dr Ste 105, Colorado Springs, CO 80909-1163 | 2018-12-06 |
| 1053898437 | Lorraine Julienne Labayen | Dentist | 7795 Dublin Blvd, Colorado Springs, CO 80923-7592 | 2018-07-27 |
| 1780178442 | Denise Ivonne Clare | Dentist | 4451 Venetucci Blvd Unit 160, Colorado Springs, CO 80906-4056 | 2018-06-17 |
| 1780185462 | Kenneth C. Pollary Dds Pllc | Dentist | 3204 N Academy Blvd Ste 210, Colorado Springs, CO 80917-5163 | 2018-02-27 |
| 1881119220 | Egbert and Stilson Dental Pllc | Dentist | 9235 N Union Blvd Ste 170, Colorado Springs, CO 80920-7833 | 2017-08-07 |
| 1942752837 | Robert Kemp Van Wagenen | Dentist | 5944 Huerfano Dr, Colorado Springs, CO 80923-3437 | 2016-10-26 |
| 1477005494 | Preferred Dental | Dentist | 5752 Palmer Park Blvd, Colorado Springs, CO 80915-1511 | 2016-10-25 |
| 1306396551 | Rota Advanced Dental Care | Dentist | 6210 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2016-10-12 |
| 1891248506 | Nicholas Allan Wyatt | Dentist | 685 Citadel Dr E Ste 302, Colorado Springs, CO 80909-5316 | 2016-07-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.