Medicaid Dental Home is a Dental Hygienist 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 An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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 Hygienist
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 09 June, 2025.