Individual
CHRISTOPHER M. ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3630 AUSTIN BLUFFS PKWY STE 100, COLORADO SPRINGS, CO 80918-6663
(719) 304-5400
(719) 304-5409
Mailing address
2785 HEATHROW DR, COLORADO SPRINGS, CO 80920-7233
(719) 291-4749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7761
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851466007
—
CO
01
—
DEN.00007761
CO DENTAL LICENSE
CO
Enumeration date
11/22/2006
Last updated
11/02/2020
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