MEDICARE: KARA ELIZABETH DERN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		CA
2	1223G0001X	General Practice Dentistry	62701	CA

General Provider Information

NPI Number	:	1053651547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA ELIZABETH DERN DDS

Provider Business Mailing Address
First Line	:	RAF ALCONBURY 423MDS/DF
Second Line	:
City	:	APO
State	:	AE
Zip	:	09470
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 E STEWART AVE BLDG 2021T
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80914-2900
Country	:	US
Telephone Number	:	805-428-8265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	08/24/2022

Similar Medicare Providers

1164409363 — DR. JONATHAN PETER BAYNE D.D.S
Practice Location Address:

1045 E STEWART AVE BLDG 2012T
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 719-556-1333
Practice Fax:

1982815379 — ABBA EYE CARE PC
Practice Location Address:

1030 E STEWART AVE , BUILDING 2017
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 719-574-5252
Practice Fax: 719-325-5182

1730425083 — NATIONAL VISION OPTICAL
Practice Location Address:

1030 E STEWART AVE , BLDG 2017
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 719-574-5252
Practice Fax:

1215542576 — BRYLIE BUTTON
Practice Location Address:

1055 E STEWART AVE BLDG 2018
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 207-841-9936
Practice Fax:

1215542428 — SKYLER WAGES
Practice Location Address:

1055 E STEWART AVE BLDG 2018
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 719-556-1333
Practice Fax:

1164038121 — JESSICA LYNN CLAMPITT
Practice Location Address:

1055 E STEWART AVE BLDG 2018
COLORADO SPRINGS, CO
80914-2900

Practice Phone: 719-556-1333
Practice Fax:

Directions to “ KARA ELIZABETH DERN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.