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
—
—
Other
Enumeration date
11/17/2023
Last updated
12/27/2023
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