Springs Smiles Youth Dentistry, Pc

NPI 1194734269 - Dentist - 1223G0001X

NPI Details
NPI 1194734269
Enumeration Date 08/06/2006
Last Updated 07/09/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JENELL JENELL
Position MANAGER, LICENSING & CREDENTIALING
Phone (719) 442-0071
Fax (719) 473-5303
Practice Location
2859 E FOUNTAIN BLVD
COLORADO SPRINGS CO, 80910-2312, US
Phone (719) 442-0071
Fax (719) 473-5303
Business Location
16 ARCADE UNIT 198747
NASHVILLE TN, 37219-1994, US
Phone (615) 750-0343
Fax (615) 986-1705
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1194734269 NPI Number
 

According to our database, Springs Smiles Youth Dentistry, Pc NPI is 1194734269, taxonomy code is 1223G0001X Springs Smiles Youth Dentistry, Pc physically located at 2859 E Fountain Blvd, Colorado Springs CO, 80910-2312. NPI Number 1033115704 has the healthcare provider type.

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1194734269 NPI number is provided on an as is basis without warranty of any kind. 1194734269 is maintained by the National Plan & Provider Enumeration System. The contents of Springs Smiles Youth Dentistry, Pc are for informational purposes only.