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General NPI Number Information
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NPI Number | 1871035212
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Entity Type | Organization
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Legal Business Name | TRANSTRUM ENDODONTICS PLLC
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 9475 BRIAR VILLAGE PT.-SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920
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Country | US
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Telephone | 719-264-1440
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Fax | 719-264-1446
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Provider Business Mailing Address
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Address Line | 9475 BRIAR VILLAGE PT.-SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920
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Country | US
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Telephone | 719-264-1440
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Fax | 719-264-1446
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MICHAEL CRAIG TRANSTRUM
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Credential | D.D.S-M.S.
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Telephone | 719-264-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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