OrganizationActive
Licensed Dental Hygiene Care
NPI 1407180540 · Voluntary or Charitable Agency · Colorado Springs, CO
Provider details
- NPI number
- 1407180540
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- P. Vacha, Executive Director(719) 310-3315
- License
- 20071454175 (CO)
Specialties & taxonomies
Agencies
Practice location
1436 N. Hancock Ave
Colorado Springs, CO 80903
Phone: (719) 338-2195
Fax: (719) 207-8110
Approximate (ZIP-level) locationGet directions
Mailing address
1436 N. Hancock Ave
Colorado Springs, CO 80903
Other names (DBA / former)
- Doing business as
- Community Dental Health, Senior Mobile Dental, Grand Ave
Registry dates
- Enumerated
- 2009-09-22
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.