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Medicaid Dental Home
Dental Hygienist in Colorado Springs, Colorado
NPI 1336570167

Medicaid Dental Home is a Dental Hygienist based in Colorado Springs, CO. Medicaid Dental Home practices in Colorado Springs, CO. The NPI Number for Medicaid Dental Home is 1336570167 and holds a License No. 8109 (Colorado).

The current practice location address for Medicaid Dental Home is 2125 E La Salle St, Colorado Springs, CO and can be reached out via phone at 719-310-3315.

Location: 2125 E La Salle St, Colorado Springs, CO, 80918-4408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336570167
Provider Name
Medicaid Dental Home
Credential
Provider Entity Type
Organization
Address
2125 E La Salle St, Colorado Springs, CO, 80918-4408
Phone Number
719-310-3315
Fax Number
Provider Enumeration Date
12/04/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84887761 05 CO
institution
Provider Business Practice Location Address Details
Address
2125 E La Salle St
City
Colorado Springs
State
Colorado
Zip
80909-2274
Phone Number
719-310-3315
Fax Number
person
Provider Business Mailing Address Details
Address
2125 E La Salle St
City
Colorado Springs
State
Colorado
Zip
80909-2274
Phone Number
719-310-3315
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dental Public Health
Taxonomy
1223D0001X
License No.
903783 (Colorado)
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
8109 (Colorado)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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