person
Tyler Haradon
Periodontist in Colorado Springs, Colorado
NPI 1972173706

Tyler Haradon is a Periodontist based in Colorado Springs, CO and is specialized in Periodontics. Tyler Haradon practices in Colorado Springs, CO. The NPI Number for Tyler Haradon is 1972173706 and holds a License No. 204636 (Colorado).

The current practice location address for Tyler Haradon is 685 Citadel Dr E Ste 200A, Colorado Springs, CO and can be reached out via phone at 719-574-4867.

Location: 685 Citadel Dr E Ste 200A, Colorado Springs, CO, 80909-5315
person
Provider Profile Details
NPI Number
1972173706
Provider Name
Tyler Haradon
Credential
Provider Entity Type
Individual
Gender
Male
Address
685 Citadel Dr E Ste 200A, Colorado Springs, CO, 80909-5315
Phone Number
719-574-4867
Fax Number
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7195744867 01 OTHER
institution
Provider Business Practice Location Address Details
Address
685 Citadel Dr E Ste 200A
City
State
Zip
80909-5315
Phone Number
719-574-4867
Fax Number
person
Provider Business Mailing Address Details
Address
685 Citadel Dr E Ste 200A
City
State
Zip
80909-5315
Phone Number
719-574-4867
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
204636 (Colorado)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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