Healthcare Provider Details

I. General information

NPI: 1639610041
Provider Name (Legal Business Name): JAMES R NORRIS DDS MS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2017
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 RESEARCH PKWY SUITE 305
COLORADO SPRINGS CO
80920-1025
US

IV. Provider business mailing address

1975 RESEARCH PKWY SUITE 305
COLORADO SPRINGS CO
80920-1025
US

V. Phone/Fax

Practice location:
  • Phone: 719-599-7760
  • Fax: 719-599-7490
Mailing address:
  • Phone: 719-599-7760
  • Fax: 719-599-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDEN 00007926
License Number StateCO

VIII. Authorized Official

Name: DR. JAMES ROBERT NORRIS
Title or Position: PRESIDENT/OWNER
Credential: D.D.S., M.S.
Phone: 651-646-3252