Summit Smiles PLLC
Dentist, General Practice in Colorado Springs, CO. Organization (NPI-2).
NPI number1275246795
StatusActive
Last updated in NPPESDec 29, 2022
Details
- NPI
- 1275246795
- Entity type
- Organization (NPI-2)
- Legal business name
- Summit Smiles PLLC
- Organization subpart
- Yes
- Enumeration date
- Dec 29, 2022
- Certification date
- Dec 27, 2022
- Last updated
- Dec 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Prestige Dental Center (Doing Business As)
Practice location
3208 N Academy Blvd Ste 110Colorado Springs, CO 80917-5171
Phone 719-597-3700
Mailing address
3208 N Academy Blvd Ste 110Colorado Springs, CO 80917-5171
Phone 719-597-3700
Authorized official
Jenny Organista
Director Of Rcm
9179660422
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