Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Southpointe Complete Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
655 SOUTHPOINTE CT STE 150, COLORADO SPRINGS, CO 80906-3859
(719) 527-9098
Mailing address
655 SOUTHPOINTE CT STE 150, COLORADO SPRINGS, CO 80906-3859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
03/28/2023
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