# COERI DENTAL PLLC

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

## Provider details

- **NPI number:** 1730041427
- **Authorized official:** EDEN HABTE DDS (SOLE MBR)
- **Authorized official phone:** (719) 359-2743

## Contact information

- **Practice address:** 1104 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4330
- **Practice address phone:** (719) 633-8766
- **Mailing address:** 1104 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4330
- **Mailing address phone:** (719) 633-8766

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2025
- **Last updated:** 12/01/2025