Healthcare Provider Details

I. General information

NPI: 1902931835
Provider Name (Legal Business Name): STEVEN F. RECK, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PASEO DEL NORTE
PUEBLO CO
81008-2611
US

IV. Provider business mailing address

7560 RANGEWOOD DR SUITE #200
COLORADO SPRINGS CO
80920-4199
US

V. Phone/Fax

Practice location:
  • Phone: 719-296-1800
  • Fax:
Mailing address:
  • Phone: 719-266-4848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY K HEMSLEY
Title or Position: BILLING COORDINATOR
Credential:
Phone: 719-266-4848