Healthcare Provider Details

I. General information

NPI: 1992405492
Provider Name (Legal Business Name): BAILEY ELIZABETH ARD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3347 NEW CENTER PT
COLORADO SPRINGS CO
80922-2880
US

IV. Provider business mailing address

3347 NEW CENTER PT
COLORADO SPRINGS CO
80922-2880
US

V. Phone/Fax

Practice location:
  • Phone: 719-208-3791
  • Fax:
Mailing address:
  • Phone: 719-208-3791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number00206705
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: