# MOUNTAIN SMILES DENTISTRY

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

## Provider details

- **NPI number:** 1164131405
- **Authorized official:** ADAM VEGA DDS (MEMBER)
- **Authorized official phone:** (719) 633-5501

## Contact information

- **Practice address:** 625 N CASCADE AVE STE 200, COLORADO SPRINGS, CO 80903-3271
- **Practice address phone:** (719) 633-5501
- **Mailing address:** 625 N CASCADE AVE STE 200, COLORADO SPRINGS, CO 80903-3271
- **Mailing address phone:** (719) 633-5501

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 04/22/2023
