Provider Demographics
NPI:1134145303
Name:ZIUCHKOVSKI, JAMES P (DDS, MS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:ZIUCHKOVSKI
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:6010 ERIN PARK DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3404
Mailing Address - Country:US
Mailing Address - Phone:719-593-7942
Mailing Address - Fax:719-593-7944
Practice Address - Street 1:6010 ERIN PARK DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3431
Practice Address - Country:US
Practice Address - Phone:719-593-7942
Practice Address - Fax:719-593-7944
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO89081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics