Cheyenne Mountain Children'S Dentistry Pc in Colorado Springs - Pediatric Dentistry
Cheyenne Mountain Children'S Dentistry Pc - NPI 1578725743
Cheyenne Mountain Children'S Dentistry Pc is a Pediatric Dentistry in Colorado Springs, Colorado. Cheyenne Mountain Children'S Dentistry Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cheyenne Mountain Children'S Dentistry Pc is 1578725743. The last update date is 2008-06-30.
Cheyenne Mountain Children'S Dentistry Pc's current location address is 6514 S Academy Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7194421960. The mailing address for Cheyenne Mountain Children'S Dentistry Pc is 6514 S Academy Blvd, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cheyenne Mountain Children'S Dentistry Pc |
|---|---|
| Address | 6514 S Academy Blvd, Colorado Springs, Colorado |
| Phone Number | 7194421960 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Purcell J. Michael |
| Credentials | DDS |
| Telephone Number | 7194421960 |
NPI Number Detail
| NPI Number | 1578725743 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 6514 S Academy Blvd |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 80906 |
| Phone Number | 7194421960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7055 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 789815 | CO | UNITED CONCORIDA | |
| 207555 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cheyenne Mountain Children'S Dentistry Pc by the Centers for Medicare & Medicaid Services?
The Cheyenne Mountain Children'S Dentistry Pc has been assigned the NPI (National Provider Identifier) 1578725743 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Cheyenne Mountain Children'S Dentistry Pc is physically located?
The Cheyenne Mountain Children'S Dentistry Pc is physically situated at the following address: 6514 S Academy Blvd, Colorado Springs, CO, 80906.
What is Cheyenne Mountain Children'S Dentistry Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cheyenne Mountain Children'S Dentistry Pc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did Cheyenne Mountain Children'S Dentistry Pc receive its 1578725743 assignment from the Centers for Medicare & Medicaid Services?
The Cheyenne Mountain Children'S Dentistry Pc was assigned its 1578725743 on 2008-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Cheyenne Mountain Children'S Dentistry Pc most recently updated or refreshed?
The details pertaining to the Cheyenne Mountain Children'S Dentistry Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-30.