Erickson Pediatric Dentistry & Orthodontics Pc

LBN: Erickson Pediatric Dentistry & Orthodontics Pc
Erickson Pediatric Dentistry & Orthodontics Pc is an health care organization with primary practice located at 9334 Grand Cordera Pkwy , Colorado Springs CO 80924-7000. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Erickson Pediatric Dentistry & Orthodontics Pc can be contacted via phone (719) 282-6666, or through Rush, Dawn via phone (719) 282-6666.

Contact Information

Primary practice address
9334 Grand Cordera Pkwy Colorado Springs CO 80924-7000
Phone: (719) 282-6666
Fax: (719) 203-5477
Website:
Map and Directions
Authorized official contact:
Name: Rush, Dawn
Phone: (719) 282-6666

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DEN 9665 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DEN 9665 Colorado

Profile Details

NPI number 1932358496
LBN Legal business name Erickson Pediatric Dentistry & Orthodontics Pc
DBA Doing business as
Authorized official Rush, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Jun 10th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932358496 NPPES
Colorado MEDICAID 9000146212

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