COLORADO SPRINGS DENTAL SERVICES, PC (NPI# 1942673397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942673397 |
Entity Type | Organization |
Organization Name | COLORADO SPRINGS DENTAL SERVICES, PC |
Other Organization Name | LOWELL MOBILE DENTAL |
Practice Address |
251 E Fountain Blvd Unit 100 Colorado Springs CO 80903-4160 |
Practice Telephone | 7195912004 |
Mailing Telephone | 7195912004 |
Enumeration Date | 2015-11-06 |
Last Update Date | 2015-11-06 |
Authorized Official Name | ARNOLD CULLUM (PRESIDENT) |
Authorized Official Telephone | 7195912004 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
7348 | CO | Dental Providers |
Other Name | Type Code |
---|---|
lowell mobile dental | Doing Business As Name - Organization |
Street Address |
251 E FOUNTAIN BLVD UNIT 100 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80903-4160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
Find all providers in zip 80903 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821268871 | Darrel Elgin Kneupper | Dentist | 1106 W Cheyenne Rd, Colorado Springs, CO 80906-2460 | 2008-03-06 |
1306927645 | Frank Eugene Seaman | Dentist | 5725 Erindale Dr Ste 200, Colorado Springs, CO 80918-1984 | 2006-10-17 |
1740230754 | Brant Alan Bradford | Dentist | 1366 S Canoe Creek Dr, Colorado Springs, CO 80906-7757 | 2006-05-11 |
1336148857 | Douglas Brian Evans | Dentist | 7560 Rangewood Dr, Suite 310, Colorado Springs, CO 80920-4199 | 2005-07-18 |
1578565669 | Maurice R Salamander | Dentist | Usaf Academy, Colorado Springs, CO 80920 | 2005-06-02 |
1518390756 | Restorative and Aesthetic Dentistry | Dentist | 5725 Erindale Dr Ste 200, Colorado Springs, CO 80918-1984 | 2013-08-12 |
1316176316 | Marina Funtik | Dentist | 685 Citadel Dr E Ste 313, Colorado Springs, CO 80909-5316 | 2009-07-10 |
1376764191 | Mark Van Allen | Dentist | 9480 Briar Village Point, Suite 300, Colorado Springs, CO 80920 | 2007-05-01 |
1124109491 | Michael G Wiley | Dentist | 5725 Erindale Dr Ste 200, Colorado Springs, CO 80918-1984 | 2006-10-17 |
1124111406 | Scott Allan Draper | Dentist | 1155 Kelly Johnson Blvd, Suite 210, Colorado Springs, CO 80920-3932 | 2006-10-01 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80903 |
Please comment or provide details below to improve the information on COLORADO SPRINGS DENTAL SERVICES, PC.
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.