Medicaid Dental Home is a Dental Public Health Clinic in Colorado Springs, Colorado. It is located at 2125 E La Salle St, Colorado Springs, CO and its contact number is 719-310-3315. The authorized person for Medicaid Dental Home is Michelle Vacha
who is Executive Director of the clinic and their contact number is 719-338-2195. The primary license number for Medicaid Dental Home is 8109 (Dental Public Health) in Colorado. Medicaid Dental Home Clinic deals with the science and art of dentistry for 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 community basis.
Complete Clinic Profile:
Medicaid Dental Home Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Medicaid Dental Home
Specialization:
Dental Public Health
Clinic Address:
2125 E La Salle St, Colorado Springs, Colorado, 80909-2274
Phone:
719-310-3315
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Michelle Vacha
Position:
Executive Director
Contact Number:
719-338-2195
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Medicaid Dental Home clinic are as mentioned below.
NPI Number:
1336570167
NPI Enumeration Date:
04 Dec, 2013
NPI Last Update On:
04 Dec, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medicaid Dental Home are as mentioned below.
Specialization
License Number
State
Status
Dental Public Health
8109
Colorado
Primary
Dental Hygienist
903783
Colorado
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
84887761
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Medicaid Dental Home 2604 Flintridge Dr, Colorado Springs, Colorado
Zip:
80918-4408
Phone Number:
719-338-2195
Patients can reach Medicaid Dental Home at 2125 E La Salle St, Colorado Springs, Colorado or can call to book an appointment on 719-310-3315. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.