Healthcare Provider Details

I. General information

NPI: 1912815689
Provider Name (Legal Business Name): THE DOWNTOWN DENTIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N TEJON ST
COLORADO SPRINGS CO
80903-1405
US

IV. Provider business mailing address

105 N TEJON ST
COLORADO SPRINGS CO
80903-1405
US

V. Phone/Fax

Practice location:
  • Phone: 719-260-0216
  • Fax: 719-227-1853
Mailing address:
  • Phone: 719-260-0216
  • Fax: 719-227-1853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS ROPER
Title or Position: OFFICE MANAGER
Credential:
Phone: 719-260-0216