Healthcare Provider Details

I. General information

NPI: 1922789353
Provider Name (Legal Business Name): AMANDA SLAVIK D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 BRIAR VILLAGE PT STE 301
COLORADO SPRINGS CO
80920-7923
US

IV. Provider business mailing address

9480 BRIAR VILLAGE PT STE 301
COLORADO SPRINGS CO
80920-7923
US

V. Phone/Fax

Practice location:
  • Phone: 719-522-0123
  • Fax: 719-266-6614
Mailing address:
  • Phone: 719-522-0123
  • Fax: 719-266-6614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number00205643
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: