Wahl, Michael Ernest
Wahl, Michael Ernest is an individual health care provider with primary practice located at 1104 W Colorado Ave , Colorado Springs CO 80904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wahl, Michael Ernest can be contacted via phone (719) 633-8766.Contact Information
Primary practice address
1104 W Colorado Ave
Colorado Springs CO 80904
Phone: (719) 633-8766
Fax: (719) 635-5259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 105967 | Colorado |
Profile Details
| NPI number | 1770584716 |
|---|---|
| LBN Legal business name | Wahl, Michael Ernest |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770584716 | NPPES |
| Colorado | MEDICAID | 02105963 |
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