Organization Active NPI

Willard Dental, PLLC

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1699592477
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLARD DENTAL, PLLC
Practice address
3347 New Center PT
Colorado Springs, CO 80922-2880
Phone
(719) 208-3791
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Hamilton
Title
Director, Payor Strategy
Phone
(315) 410-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3347 New Center PT
Colorado Springs, CO 80922-2880

Mailing address

PO Box 70887
Cleveland, OH 44190-0887
Phone (315) 410-5531

National Provider Directory

National Provider Directory

Locations

3347 New Center Pt
Colorado Springs, CO 80922
Phone (719) 208-3791

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1699592477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 NEW CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222880",
            "telephone_number": "719-208-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR, PAYOR STRATEGY",
        "authorized_official_telephone_number": "315-410-5531"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.