# SB WEST DENTAL

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

## Provider details

- **NPI number:** 1114851979
- **Authorized official:** AMANDA FREYRE (INSURANCE/BILLING MANAGER)
- **Authorized official phone:** (719) 424-4668

## Contact information

- **Practice address:** 4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767
- **Practice address phone:** (719) 424-4668
- **Mailing address:** 4185 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-3767

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 06/24/2026