Mamata Mukkara in Colorado Springs - Orthodontics And Dentofacial Orthopedics
Mamata Mukkara - NPI 1255498861
Mamata Mukkara is a Orthodontics And Dentofacial Orthopedics in Colorado Springs, Colorado. Mamata Mukkara practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mamata Mukkara is 1255498861. The last update date is 2019-06-14.
Mamata Mukkara's current location address is 2221 E Bijou St Ste 100, Colorado Springs, Colorado. You can contact this provider via phone number 7195761850 and fax number 7199553470. The mailing address for Mamata Mukkara is 2221 E Bijou St Ste 100, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mamata Mukkara |
|---|---|
| Address | 2221 E Bijou St Ste 100, Colorado Springs, Colorado |
| Phone Number | 7195761850 |
| Fax Number | 7199553470 |
| Sole Proprietor | N |
| Credentials | DMD, DSCD, |
NPI Number Detail
| NPI Number | 1255498861 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2019-06-14 |
Provider Mailing Address Detail
| Address | 2221 E Bijou St Ste 100 |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809098009 |
| Phone Number | 7195761850 |
| Fax Number | 7199553470 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 15876 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 91615433 | DC | -- | |
| 109820900 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mamata Mukkara by the Centers for Medicare & Medicaid Services?
The Mamata Mukkara has been issued the NPI (National Provider Identifier) 1255498861 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mamata Mukkara is located?
The Mamata Mukkara is situated at the following address: 2221 E Bijou St Ste 100, Colorado Springs, CO, 809098009.
What is Mamata Mukkara's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mamata Mukkara's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did Mamata Mukkara receive its 1255498861 assignment from the Centers for Medicare & Medicaid Services?
The Mamata Mukkara was assigned its 1255498861 on 2007-01-02, 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 Mamata Mukkara most recently updated or refreshed?
The details pertaining to the Mamata Mukkara, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY