MEDICARE: DR. CHRISTINA MARIE MAZZOLA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DEN-9952	CO

General Provider Information

NPI Number	:	1811124894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA MARIE MAZZOLA D.D.S.

Provider Business Mailing Address
First Line	:	4565 IRON ORE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-7602
Country	:	US
Telephone Number	:	231-392-6907
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 S NEVADA AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-3407
Country	:	US
Telephone Number	:	719-576-5566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	04/20/2011

Similar Medicare Providers

1689610271 — SAFEWAY INC
Practice Location Address:

1920 S NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-636-5257
Practice Fax: 719-448-9818

1215034939 — MR. NICOLAS ROGER PRUETT DD.S.
Practice Location Address:

1930 S. NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-576-5566
Practice Fax: 719-576-1100

1427285758 — MR. CHRISTOPHER DANIEL MAZZOLA D.D.S.
Practice Location Address:

1930 S NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-576-5566
Practice Fax: 719-576-1100

1164723979 — MR. TERRY LEE MATTHEWS RPH
Practice Location Address:

1920 S NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-636-5257
Practice Fax: 719-448-9818

1295037646 — BROADMOOR DENTAL, LLC
Practice Location Address:

1930 S NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-576-5566
Practice Fax: 719-576-1100

1306148333 — MICHELLE S STASKA PHARMD
Practice Location Address:

1920 S NEVADA AVE
COLORADO SPRINGS, CO
80905-3407

Practice Phone: 719-636-5257
Practice Fax:

Directions to “ DR. CHRISTINA MARIE MAZZOLA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.