Healthcare Provider Details

I. General information

NPI: 1619838356
Provider Name (Legal Business Name): CO IOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7685 MCLAUGHLIN RD STE 190
PEYTON CO
80831-4751
US

IV. Provider business mailing address

7685 MCLAUGHLIN RD STE 190
PEYTON CO
80831-4751
US

V. Phone/Fax

Practice location:
  • Phone: 719-401-0090
  • Fax: 719-597-9902
Mailing address:
  • Phone: 719-401-0090
  • Fax: 719-597-9902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JACOB ZITTERKOPF
Title or Position: OWNER
Credential: DDS
Phone: 720-742-8026