Western Dental Group Of Academy Blvd in Colorado Springs - Oral And Maxillofacial Pathology

Western Dental Group Of Academy Blvd - NPI 1649390220

Western Dental Group Of Academy Blvd is a Oral And Maxillofacial Pathology in Colorado Springs, Colorado. Western Dental Group Of Academy Blvd practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Western Dental Group Of Academy Blvd is 1649390220. The last update date is 2020-08-22.

Western Dental Group Of Academy Blvd's current location address is 1304 N Academy Blvd, Colorado Springs, Colorado. You can contact this provider via phone number 7195968440 and fax number 7195728934. The mailing address for Western Dental Group Of Academy Blvd is 1304 N Academy Blvd, Colorado Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Dental Group Of Academy Blvd
Address 1304 N Academy Blvd, Colorado Springs, Colorado
Phone Number 7195968440
Fax Number 7195728934
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rodriguez Leopoldo
Credentials D.D.S.
Telephone Number 7195963939

NPI Number Detail

NPI Number 1649390220
Provider Enumeration Date 2007-03-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1304 N Academy Blvd
City Colorado Springs
State Colorado (CO)
Post Code 809093325
Phone Number 7195968440
Fax Number 7195728934

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 7181
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

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FAQs about Western Dental Group Of Academy Blvd

What is the Western Dental Group Of Academy Blvd's 1649390220?

The Western Dental Group Of Academy Blvd's NPI (National Provider Identifier) Number is 1649390220. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Western Dental Group Of Academy Blvd's physical address?

The Western Dental Group Of Academy Blvd is physically located at 1304 N Academy Blvd, in the city of Colorado Springs, CO, with the postal code 809093325.

What is Western Dental Group Of Academy Blvd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Western Dental Group Of Academy Blvd is Oral And Maxillofacial Pathology, and the taxonomy classification code that categorizes this area of expertise is 1223P0106X.

On what date did Western Dental Group Of Academy Blvd receive its 1649390220 assignment from the Centers for Medicare & Medicaid Services?

The Western Dental Group Of Academy Blvd was assigned its 1649390220 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Western Dental Group Of Academy Blvd most recently updated or revised?

The information pertaining to Western Dental Group Of Academy Blvd, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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