Prestige Dental Centers
LBN: Prestige Dental Llc
Prestige Dental Centers is an health care organization with primary practice located at 3208 N Academy Blvd Ste 110 , Colorado Springs CO 80917-5171. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty.
Prestige Dental Llc can be contacted via phone (719) 597-3700, or through Shay, Diana D via phone (719) 597-3700.
Contact Information
Primary practice address
3208 N Academy Blvd Ste 110
Colorado Springs CO 80917-5171
Phone: (719) 597-3700
Fax: (719) 597-7507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7989 | Colorado |
| Dental Providers / Dentist | 122300000X | 201875 | Colorado |
| Dental Providers / Dental Hygienist | 124Q00000X | DH000905418 | Colorado |
Profile Details
| NPI number | 1023412095 |
|---|---|
| LBN Legal business name | Prestige Dental Llc |
| DBA Doing business as | Prestige Dental Centers |
| Authorized official | Shay, Diana D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2014 |
| Last updated | Oct 20th, 2014 - about 11 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 | 1023412095 | NPPES |
| Colorado | MEDICAID | 97401862 | |
| Colorado | MEDICAID | 65426061 | |
| Colorado | MEDICAID | 38873362 |
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