Dina Aboushehata, DDS
Individual provider Active NPI Dentist · Colorado Springs, CO
NPI 1124616768 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1124616768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN.00204618 (CO)
- Practice address
- 1705 N Weber St
Colorado Springs, CO 80907-7503 - Phone
- (719) 471-1900
- NPI assigned
- Jan 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204618 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North End Dental, PLLC | Current |
Accepting new patients |
Locations
1705 N Weber St
Colorado Springs, CO 80907
Phone (719) 417-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00204618 | CO | Yes |
Addresses
Primary practice location
1705 N Weber St
Colorado Springs, CO 80907-7503
Mailing address
2210 Calistoga Dr
Colorado Springs, CO 80915-4365
Phone (970) 829-2798
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.