Healthcare Provider Details

I. General information

NPI: 1982125928
Provider Name (Legal Business Name): CORY ANDREWS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 EL CAMINO DR STE 200
COLORADO SPRINGS CO
80918-2130
US

IV. Provider business mailing address

1408 S 3RD AVE
STERLING CO
80751-4650
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-7453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number00203234
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: