IndividualActive
Michael Wiley, DDS, MS
NPI 1124109491 · Prosthodontics · Colorado Springs, CO
Provider details
- NPI number
- 1124109491
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- CO5131 (CO)
Specialties & taxonomies
Dental Providers
Practice location
5725 Erindale Dr Ste 200
Colorado Springs, CO 80918-1984
Phone: (719) 593-0005
Fax: (719) 593-0282
Approximate (ZIP-level) locationGet directions
Mailing address
5725 Erindale Dr Ste 200
Colorado Springs, CO 80918-1984
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.