Broadmoor Valley Dental Care, Pc
LBN: Broadmoor Valley Dental Care, Pc
Broadmoor Valley Dental Care, Pc is an health care organization with primary practice located at 2965 Broadmoor Valley Rd , Colorado Springs CO 80906-4407. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Broadmoor Valley Dental Care, Pc can be contacted via phone (719) 632-7636, or through Spaeth, Oliver via phone (719) 632-7636.
Contact Information
Primary practice address
2965 Broadmoor Valley Rd
Colorado Springs CO 80906-4407
Phone: (719) 632-7636
Fax: (719) 632-5134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9295 | Colorado |
Profile Details
NPI number | 1902118508 |
---|---|
LBN Legal business name | Broadmoor Valley Dental Care, Pc |
DBA Doing business as | |
Authorized official | Spaeth, Oliver |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 12th, 2010 |
Last updated | Jul 12th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902118508 | NPPES |
Colorado | Other | 1962598870 | SOLE PROPRIETOR NPI NUMBER |
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