South Springs Dental Group

LBN: South Springs Dental Professional Llc
South Springs Dental Group is an health care organization with primary practice located at 6514 S Academy Blvd , Colorado Springs CO 80906-8614. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. South Springs Dental Professional Llc can be contacted via phone (719) 494-0718, or through Peak, Douglas via phone (719) 494-0718.

Contact Information

Primary practice address
6514 S Academy Blvd Colorado Springs CO 80906-8614
Phone: (719) 494-0718
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peak, Douglas
Phone: (719) 494-0718

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 10397 Colorado
Dental Providers / General Practice 1223G0001X 10397 Colorado
Dental Providers / Periodontics 1223P0300X 10397 Colorado
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10397 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10397 Colorado

Profile Details

NPI number 1659702769
LBN Legal business name South Springs Dental Professional Llc
DBA Doing business as South Springs Dental Group
Authorized official Peak, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2013
Last updated Nov 29th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659702769 NPPES
Colorado Other 10397 DENTAL

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