Medicaid Dental Home
Medicaid Dental Home provides Public Health Dentistry in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2013.
- Licensed in
- CO
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2125 E La Salle StColorado Springs, CO 80909-2274 Not confirmed with CMS for 12 years — call before visiting
Phone: (719) 310-3315
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health Dentistry (primary) | Taxonomy 1223D0001X · Licence 8109 (CO) |
|---|---|
| Dental Hygienist | Taxonomy 124Q00000X · Licence 903783 (CO) |
Record details
| NPI number | 1336570167 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Vacha — Executive Director · (719) 338-2195 |
| NPI enumerated | December 4, 2013 |
| Last updated in NPPES | December 4, 2013 |
| Mailing address | 2604 Flintridge Dr, Colorado Springs, CO 80918-4408 |
Other providers in Colorado Springs
-
Taylor Kennedy
2828 International Cir Ste 100, Colorado Springs, CO 80910-3127 · (719) 632-5700
-
Mr. Vincent D Markovitz, DDS
1815 Jet Wing Dr, Colorado Springs, CO 80916-2300 · (719) 632-5700
-
Dr. Edward J McCulloch, DDS
3585 Van Teylingen Dr Ste F, Colorado Springs, CO 80917-4875 · (719) 597-7111
-
Michael D Wonnacott DDS PC
881 Reagan Hts, Colorado Springs, CO 80921-2313 · (719) 488-2222
-
Dr. Melissa Ann Musolf, DDS
6140 Tutt Blvd Ste 150, Colorado Springs, CO 80922-3575 · (719) 622-9200