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NPI Code Detail

MEDICARE: MR. RAYMOND DAVID BAROS D.D.S.

MEDICARE: MR. RAYMOND DAVID BAROS D.D.S.
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
11223G0001XGeneral Practice Dentistry104299CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1793766OTHERCOUNITED CONCORDIA
271215OTHERCOBLUE CROSS/BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4104299OTHERCODELTA DENTAL

General Provider Information

NPI Number : 1194829697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND DAVID BAROS D.D.S.
Provider Business Mailing Address
First Line : 513 KIVA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1913
Country : US
Telephone Number : 719-392-5300
Fax Number : 719-392-1093
Provider Business Practice Location Address
First Line : 513 KIVA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1913
Country : US
Telephone Number : 719-392-5300
Fax Number : 719-392-1093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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Practice Location Address:
513 KIVA RD
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80911-1913
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Practice Fax: 719-392-1093
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513 KIVA RD
COLORADO SPRINGS, CO
80911-1913
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Practice Fax:
1689038697 — PAMELA ZIMMERMAN RDH
Practice Location Address:
513 KIVA RD
COLORADO SPRINGS, CO
80911-1913
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Practice Fax: 719-392-1093
1912361924 — MRS. BAILEY MARIE PERRICONE R.D.H.
Practice Location Address:
513 KIVA RD
COLORADO SPRINGS, CO
80911-1913
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Practice Fax: 719-392-1093
1710610910 — DR. COLLEEN REMIEN HARRIS D.M.D.
Practice Location Address:
513 KIVA RD
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80911-1913
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Practice Fax:

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