# HIGH SMILEAGE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013800879
- **Authorized official:** DR. ERIC BRYAN FU DDS (PRACTICE OWNER)
- **Authorized official phone:** (719) 602-8204

## Contact information

- **Practice address:** 1404 W CHEYENNE RD, COLORADO SPRINGS, CO 80906-3019
- **Practice address phone:** (719) 602-8204
- **Mailing address:** 1404 W CHEYENNE RD, COLORADO SPRINGS, CO 80906-3019
- **Mailing address phone:** (719) 602-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2025
- **Last updated:** 06/19/2025