Organization
DOCS HEALTH COLORADO, PC
Active
Other names
DOCS Dental Ft.Carson
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLARK (DIRECTOR OF CREDENTAILING)
(673) 625-9382
Entity
Organization
Contact information
Practice address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(267) 927-5000
Mailing address
CHILES AVE, BLDG 1510, FT.CARSON, CO 80913-4829
(267) 952-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7516
LC LAST 4 LIC #
CO
Enumeration date
10/21/2021
Last updated
01/27/2023
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