Healthcare Provider Details

I. General information

NPI: 1598613408
Provider Name (Legal Business Name): ABIGAIL DIJANICH RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 N UNION BLVD
COLORADO SPRINGS CO
80920-4051
US

IV. Provider business mailing address

7750 N UNION BLVD
COLORADO SPRINGS CO
80920-4051
US

V. Phone/Fax

Practice location:
  • Phone: 719-598-1293
  • Fax:
Mailing address:
  • Phone: 719-598-1293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number002024478
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: