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Organization
ELEVATION ENDODONTICS, PLLC
Active
Organization
ELEVATION ENDODONTICS, PLLC
Active
Other names
Elevation Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JOHN MCKISSOCK DMD (OWNER)
(719) 488-2188
Entity
Organization
Contact information
Practice address
1720 JET STREAM DR STE 110, COLORADO SPRINGS, CO 80921-3938
(719) 488-2188
(719) 488-2188
Mailing address
1720 JET STREAM DR STE 110, COLORADO SPRINGS, CO 80921-3938
(719) 488-2188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2023
Last updated
12/27/2023
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