Broadmoor Valley Dental Care, Pc

LBN: Broadmoor Valley Dental Care, Pc
Broadmoor Valley Dental Care, Pc is an health care organization with primary practice located at 2965 Broadmoor Valley Rd , Colorado Springs CO 80906-4407. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Broadmoor Valley Dental Care, Pc can be contacted via phone (719) 632-7636, or through Spaeth, Oliver via phone (719) 632-7636.

Contact Information

Primary practice address
2965 Broadmoor Valley Rd Colorado Springs CO 80906-4407
Phone: (719) 632-7636
Fax: (719) 632-5134
Website:
Map and Directions
Authorized official contact:
Name: Spaeth, Oliver
Phone: (719) 632-7636

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9295 Colorado

Profile Details

NPI number 1902118508
LBN Legal business name Broadmoor Valley Dental Care, Pc
DBA Doing business as
Authorized official Spaeth, Oliver
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2010
Last updated Jul 12th, 2010 - about 16 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 1902118508 NPPES
Colorado Other 1962598870 SOLE PROPRIETOR NPI NUMBER

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