Rocky Mountain Periodontal Specialists in Colorado Springs - Periodontics
Rocky Mountain Periodontal Specialists - NPI 1205052842
Rocky Mountain Periodontal Specialists is a Periodontics in Colorado Springs, Colorado. Rocky Mountain Periodontal Specialists practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Rocky Mountain Periodontal Specialists is 1205052842. The last update date is 2020-08-22.
Rocky Mountain Periodontal Specialists's current location address is 685 Citadel Dr E, Colorado Springs, Colorado. You can contact this provider via phone number 7195744867 and fax number 7195967820. The mailing address for Rocky Mountain Periodontal Specialists is 685 Citadel Dr E, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Rocky Mountain Periodontal Specialists |
---|---|
Address | 685 Citadel Dr E, Colorado Springs, Colorado |
Phone Number | 7195744867 |
Fax Number | 7195967820 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PERIODONTI |
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Authorized Official Name | Lackler Karl |
Credentials | DDS,MS |
Telephone Number | 7195744867 |
NPI Number Detail
NPI Number | 1205052842 |
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Provider Enumeration Date | 2007-04-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 685 Citadel Dr E |
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City | Colorado Springs |
State | Colorado (CO) |
Post Code | 809095314 |
Phone Number | 7195744867 |
Fax Number | 7195967820 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 7405 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the Rocky Mountain Periodontal Specialists's unique identification number?
The Rocky Mountain Periodontal Specialists has been assigned the NPI (National Provider Identifier) Number 1205052842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Rocky Mountain Periodontal Specialists's physical address?
The Rocky Mountain Periodontal Specialists is physically located at 685 Citadel Dr E, in the city of Colorado Springs, CO, with the postal code 809095314.
What is Rocky Mountain Periodontal Specialists's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rocky Mountain Periodontal Specialists's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Rocky Mountain Periodontal Specialists receive its 1205052842 assignment from the Centers for Medicare & Medicaid Services?
The Rocky Mountain Periodontal Specialists was assigned its 1205052842 by the Centers for Medicare & Medicaid Services on 2007-04-18.
When was the information related to Rocky Mountain Periodontal Specialists most recently updated or refreshed?
The details pertaining to the Rocky Mountain Periodontal Specialists, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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