CONSTITUTION DENTAL GROUP, LLP (NPI# 1073057675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073057675 |
| Entity Type | Organization |
| Organization Name | CONSTITUTION DENTAL GROUP, LLP |
| Other Organization Name | CONSTITUTION DENTAL GROUP |
| Practice Address |
7935 Constitution Avenue Suite 110 Colorado Springs CO 80951 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7192800277 |
| Practice Fax Number | 7193870285 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | DR. RYAN C GARDNER (OWNER) |
| Authorized Official Telephone | 7192800277 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Constitution Dental Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Constitution Dental Group, LLP | 17000 Red Hill Avenue, Irvine, CA 92614 |
| Street Address |
7935 CONSTITUTION AVENUE SUITE 110 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841720398 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7915 Constitution Ave, Colorado Springs, CO 80951 | 2017-06-18 |
| 1477925055 | Advanced Neuro Connections Inc. | Behavioral Analyst | 2263 Pinyon Jay Drive, Colorado Springs, CO 80951 | 2015-10-22 |
| 1447869656 | Sherrie Jansky | Student in an Organized Health Care Education/Training Program | 1622 Woodpark Dr, Colorado Springs, CO 80951-2748 | 2020-07-24 |
| 1013316371 | Alice Adams | Registered Nurse | 2291 Jeanette Way, Colorado Springs, CO 80951-4700 | 2014-08-21 |
| 1790147064 | Robin Rae Schawe | Counselor | 1925 Dewhirst Dr, Colorado Springs, CO 80951-4764 | 2016-03-24 |
| 1598967473 | Ashlee Nelson | Physical Therapist | 8134 Postrock Dr, Colorado Springs, CO 80951-4778 | 2007-06-04 |
| 1154412351 | Meredith Marie Hudson | Dentist | 7935 Constitution Ave Ste 110, Colorado Springs, CO 80951-8903 | 2006-09-27 |
| 1598285462 | John Holt | Dentist | 7935 Constitution Ave Ste 110, Colorado Springs, CO 80951-8903 | 2017-06-22 |
| 1003221870 | Birth @home Midwifery Services | Midwife | 2112 Riverwalk Pkwy, Colorado Springs, CO 80951-9748 | 2014-06-30 |
| 1508119827 | Rachel Marlaine Madrigal | Midwife, Lay | 1947 Capital Dr, Colorado Springs, CO 80951-9754 | 2012-10-24 |
| Find all providers in zip 80951 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80951 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.