Organization
SUMMIT DENTAL CARE ONE
Active
Parent organization
SUMMIT DENTAL CARE
Other names
Summit Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT DENTAL CARE
Authorized official
MEGAN SMITH (PRESIDENT OF OPERATIONS)
(719) 322-4949
Entity
Organization
Contact information
Practice address
5725 ERINDALE DR STE 100, COLORADO SPRINGS, CO 80918-1984
(719) 322-4949
Mailing address
610 5TH ST STE 400, CASTLE ROCK, CO 80104-1827
(719) 322-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8290
CO
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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