Healthcare Provider Details

I. General information

NPI: 1821073545
Provider Name (Legal Business Name): RAMIE KENT BARFUSS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1667 COCHRANE CIR BLDG 7495
COLORADO SPRINGS CO
80913-4603
US

IV. Provider business mailing address

1667 COCHRANE CIR BLDG 7495USA
FORT CARSON CO
80913-4603
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-5400
  • Fax:
Mailing address:
  • Phone: 719-526-5537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDEN.00202960
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: