MICHAEL KUNKEL DDS PROFESSIONAL LLC (NPI# 1376989707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376989707 |
| Entity Type | Organization |
| Organization Name | MICHAEL KUNKEL DDS PROFESSIONAL LLC |
| Other Organization Name | ORAL AND FACIAL SURGERY CENTER |
| Practice Address |
3475 Briargate Blvd Suite 102 Colorado Springs CO 80920-4170 |
| Practice Telephone | 7192646070 |
| Practice Fax Number | 7192646090 |
| Mailing Telephone | 7192646070 |
| Mailing Fax Number | 7192646090 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | DR. MICHAEL KUNKEL (MANAGING MEMBER) |
| Authorized Official Telephone | 7192646070 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DEN.00201943 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Oral and Facial Surgery Center | Doing Business As Name - Organization |
| Street Address |
3475 BRIARGATE BLVD SUITE 102 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1588113716 | Alpine Surgical Assisting LLC | Specialist/Technologist, Other | 3475 Briargate Blvd, Suite 200, Colorado Springs, CO 80920-4170 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| 1568850725 | Steven F. Reck, Dds, PC | Dentist | 7310 Rangewood Dr, Suite 200, Colorado Springs, CO 80918-7701 | 2014-12-22 |
| 1942565197 | Pavol Porazik | Dentist | 7136 N Academy Blvd, Colorado Springs, CO 80920 | 2012-07-12 |
| 1982800264 | Dr. Robert C. Christiansen Dds PC | Dentist | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2007-06-25 |
| 1376663641 | Oral Surgery Associates of Colorado Springs, P.C. | Dentist | 5745 Erindale Dr Ste 100, Colorado Springs, CO 80918-8902 | 2007-03-30 |
| 1952447724 | Robert Malcolm Igo | Dentist | 1304 N Academy Boulevard, Suite 205, Colorado Springs, CO 80909-3318 | 2007-01-29 |
| 1952367096 | James David Vetter | Dentist | 1755 Telstar Dr, Suite 210, Colorado Springs, CO 80920-1016 | 2006-04-26 |
| 1366413361 | Harry Richard Cole Jr. | Dentist | 1755 Telstar Dr Ste 250, Colorado Springs, CO 80920-1016 | 2006-01-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.