# SOCO SMILES NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SoCO Smiles Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417587858
- **Authorized official:** MICHAEL KOFFORD DMD, MSD (OWNER)
- **Authorized official phone:** (719) 331-2504

## Contact information

- **Practice address:** 8540 SCARBOROUGH DR STE 250, COLORADO SPRINGS, CO 80920-7502
- **Practice address phone:** (719) 487-9303
- **Mailing address:** 4625 ALPGLEN CT, COLORADO SPRINGS, CO 80906-8213
- **Mailing address phone:** (719) 331-2504

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020