# STATE BOARD FOR COMMUNITY COLLEGES AND OCCUPATIONAL EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIKES PEAK STATE COLLEGE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174344956
- **Legal business name:** PIKES PEAK STATE COLLEGE
- **Authorized official:** EWA POSORSKI (DENTAL CENTER DIRECTOR)
- **Authorized official phone:** (719) 502-3437

## Contact information

- **Practice address:** 11125 CROSS PEAK VW, COLORADO SPRINGS, CO 80921-3420
- **Practice address phone:** (719) 502-3437
- **Mailing address:** 11125 CROSS PEAK VW, COLORADO SPRINGS, CO 80921-3420
- **Mailing address phone:** (719) 502-3437

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024