Hero Dental Of Brockton, Pa in Colorado Springs - Dentist
Hero Dental Of Brockton, Pa - NPI 1083801419
Hero Dental Of Brockton, Pa is a Dentist in Colorado Springs, Colorado. Hero Dental Of Brockton, Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Hero Dental Of Brockton, Pa is 1083801419. The last update date is 2007-10-01.
Hero Dental Of Brockton, Pa's current location address is 1255 Lake Plaza Dr, Colorado Springs, Colorado. You can contact this provider via phone number 7195761850 and fax number 7195761929. The mailing address for Hero Dental Of Brockton, Pa is 1255 Lake Plaza Dr, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hero Dental Of Brockton, Pa |
|---|---|
| Address | 1255 Lake Plaza Dr, Colorado Springs, Colorado |
| Phone Number | 7195761850 |
| Fax Number | 7195761929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Montano B. Ronald |
| Credentials | D.D.S. |
| Telephone Number | 7195761850 |
NPI Number Detail
| NPI Number | 1083801419 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 1255 Lake Plaza Dr |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809063500 |
| Phone Number | 7195761850 |
| Fax Number | 7195761929 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Hero Dental Of Brockton, Pa?
The Hero Dental Of Brockton, Pa has been issued the NPI (National Provider Identifier) 1083801419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Hero Dental Of Brockton, Pa is located?
The Hero Dental Of Brockton, Pa is situated at the following address: 1255 Lake Plaza Dr, Colorado Springs, CO, 809063500.
What is Hero Dental Of Brockton, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hero Dental Of Brockton, Pa's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Hero Dental Of Brockton, Pa receive its 1083801419 assignment from the Centers for Medicare & Medicaid Services?
The Hero Dental Of Brockton, Pa was assigned its 1083801419 by the Centers for Medicare & Medicaid Services on 2007-10-01.
As of what date were the Hero Dental Of Brockton, Pa's details last updated?
The information pertaining to the Hero Dental Of Brockton, Pa, including its address, specialty, and other details, was most recently updated on 2007-10-01.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD