Erickson Pediatric Dentistry & Orthodontics

LBN: Monument Child Dental & Orthodontic Specialists Pc
Erickson Pediatric Dentistry & Orthodontics is an health care organization with primary practice located at 850 Sky Vista Point , Colorado Springs CO 80921-1400. 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. Monument Child Dental & Orthodontic Specialists Pc can be contacted via phone (719) 488-1101, or through Rush, Dawn via phone (719) 282-6666.

Contact Information

Primary practice address
850 Sky Vista Point Colorado Springs CO 80921-1400
Phone: (719) 488-1101
Fax: (719) 488-1115
Website:
Map and Directions
Authorized official contact:
Name: Rush, Dawn
Phone: (719) 282-6666

Health care specialties

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

Profile Details

NPI number 1992063176
LBN Legal business name Monument Child Dental & Orthodontic Specialists Pc
DBA Doing business as Erickson Pediatric Dentistry & Orthodontics
Authorized official Rush, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Jun 30th, 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 1992063176 NPPES
Colorado MEDICAID 29102251
Colorado MEDICAID 86708350

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