Organization
ZITTERKOPF SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB G ZITTERKOPF DDS, MSD (OWNER/ DDS)
(719) 596-2477
Entity
Organization
Contact information
Practice address
6140 TUTT BLVD STE 250, COLORADO SPRINGS, CO 80923-3578
(719) 596-2477
(719) 597-9902
Mailing address
6140 TUTT BLVD STE 250, COLORADO SPRINGS, CO 80923-3578
(719) 596-2477
(719) 597-9902
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972013639
STATE
CO
Enumeration date
03/15/2024
Last updated
03/15/2024
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