Organization
WHITE DIAMOND DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WAYNE HIRSBRUNNER DMD (DENTIST/OWNER)
(719) 344-2191
Entity
Organization
Contact information
Practice address
15854 JACKSON CREEK PKWY # 140A, MONUMENT, CO 80132-8662
(719) 344-2191
(719) 247-2295
Mailing address
15854 JACKSON CREEK PKWY # 140A, MONUMENT, CO 80132-8662
(719) 344-2191
(719) 247-2295
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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