Healthcare Provider Details

I. General information

NPI: 1053950162
Provider Name (Legal Business Name): CHRISTOPHER LEE FRANKMORE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 PARKER BLVD
PUEBLO CO
81008-2280
US

IV. Provider business mailing address

3470 PARKER BLVD
PUEBLO CO
81008-2280
US

V. Phone/Fax

Practice location:
  • Phone: 719-543-4022
  • Fax:
Mailing address:
  • Phone: 719-543-4022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00204255
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00204255
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: