Stettler Kr Broadmoor Pllc

LBN: Stettler Kr Broadmoor Pllc
Stettler Kr Broadmoor Pllc is an health care organization with primary practice located at 4515 Broadmoor Bluffs Dr , Colorado Springs CO 80906-8647. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Stettler Kr Broadmoor Pllc can be contacted via phone (719) 424-4668, or through Stettler, Corban via phone (719) 304-1305.

Contact Information

Primary practice address
4515 Broadmoor Bluffs Dr Colorado Springs CO 80906-8647
Phone: (719) 424-4668
Fax: (719) 424-4667
Website:
Map and Directions
Authorized official contact:
Name: Stettler, Corban Doctor of Dental Surgery (DDS)
Phone: (719) 304-1305

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1578181103
LBN Legal business name Stettler Kr Broadmoor Pllc
DBA Doing business as
Authorized official Stettler, Corban Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2020
Last updated Jul 9th, 2020 - about 4 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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