Organization
SPRINGS FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID TERVEEN DDS (OWNER)
(719) 634-4805
Entity
Organization
Contact information
Practice address
1935 N UNION BLVD, COLORADO SPRINGS, CO 80909-2229
(719) 634-4805
Mailing address
1935 N UNION BLVD, COLORADO SPRINGS, CO 80909-2229
(719) 634-4805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/22/2015
Last updated
07/29/2024
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