John Jared Waite, DDS, PC
Dentist in Colorado Springs, CO. Organization (NPI-2).
NPI number1447535554
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1447535554
- Entity type
- Organization (NPI-2)
- Legal business name
- John Jared Waite, DDS, PC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2011
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 8854 | CO | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Other names
- Aspen Ridge Dental Care (Doing Business As)
Practice location
6260 Woodmen Park Vw Ste 150Colorado Springs, CO 80923-2621
Phone 719-282-3400 · Fax 719-282-3401
Mailing address
6260 Woodmen Park Vw Ste 150Colorado Springs, CO 80923-2621
Phone 719-282-3400 · Fax 719-282-3401
Authorized official
John Jared Waite
Dentist, Owner
7192823400
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