Edward Anthony Koditek in Colorado Springs - Dentist

Edward Anthony Koditek - NPI 1346299690

Edward Anthony Koditek is a Dentist in Colorado Springs, Colorado. Edward Anthony Koditek practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Anthony Koditek is 1346299690. The last update date is 2015-05-15.

Edward Anthony Koditek's current location address is 230 Chatham Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7195768985. The mailing address for Edward Anthony Koditek is 230 Chatham Dr, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Anthony Koditek
Address 230 Chatham Dr, Colorado Springs, Colorado
Phone Number 7195768985
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1346299690
Provider Enumeration Date 2006-05-06
Last Updated Date 2015-05-15

Provider Mailing Address Detail

Address 230 Chatham Dr
City Colorado Springs
State Colorado (CO)
Post Code 809064868
Phone Number 7195768985
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7696
Definition:
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: denti

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FAQs about Edward Anthony Koditek

What is the Edward Anthony Koditek's 1346299690?

The Edward Anthony Koditek's NPI (National Provider Identifier) Number is 1346299690. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Edward Anthony Koditek's facilities are situated?

The facilities of Edward Anthony Koditek are physically located at the following address: 230 Chatham Dr, Colorado Springs, CO, 809064868.

What is Edward Anthony Koditek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Edward Anthony Koditek is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1346299690 to Edward Anthony Koditek?

The Edward Anthony Koditek received its 1346299690 assignment from the Centers for Medicare & Medicaid Services on 2006-05-06.

As of what date were the details pertaining to Edward Anthony Koditek last refreshed?

The information related to the Edward Anthony Koditek, including its address, specialty, and other relevant details, was last updated on 2015-05-15.

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