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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.