Organization
AUDUBON DENTAL PLLC
Active
Other names
Audubon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
2960 N CIRCLE DR STE 105, COLORADO SPRINGS, CO 80909-1163
(719) 597-6300
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
(214) 702-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
01/28/2026
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