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Organization

JOHN N. ORDAHL DDS MS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ORDAHL DDS, MS (OWNER)
(719) 596-3098
Entity
Organization

Contact information

Practice address
3505 AUSTIN BLUFFS PKWY STE 215, COLORADO SPRINGS, CO 80918-5754
(719) 596-3098
(719) 596-3099
Mailing address
3505 AUSTIN BLUFFS PKWY STE 215, COLORADO SPRINGS, CO 80918-5754
(719) 596-3098
(719) 596-3099

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5462
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02054625
CO
Enumeration date
08/06/2009
Last updated
06/21/2021
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