Organization
SUMMIT SMILES PLLC
Active
Parent organization
SUMMIT SMILES PLLC
Other names
Palmer Park Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT SMILES PLLC
Authorized official
JENNY ORGANISTA (DIRECTOR OF RCM)
(917) 966-0422
Entity
Organization
Contact information
Practice address
3208 N ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80917-5111
(719) 301-5300
(719) 414-0027
Mailing address
3208 N ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80917-5111
(719) 301-5300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
04/09/2024
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