Organization
SMILES FOR COLORADO ORTHODONTICS, PC
Active
Organization
SMILES FOR COLORADO ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANGORN S TERRY M.S., D.M.D. (OWNER)
(719) 227-7645
Entity
Organization
Contact information
Practice address
1539 S 8TH ST STE 200, COLORADO SPRINGS, CO 80906-1977
(719) 227-7645
Mailing address
8115 NIGHT BLUFF DR, SAN ANTONIO, TX 78255-3300
(210) 264-3102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99488361
—
CO
Enumeration date
05/30/2008
Last updated
05/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up