Provider Demographics
NPI:1477564722
Name:SAVAGLIO, ALESSANDRO JOSEPH III (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALESSANDRO
Middle Name:JOSEPH
Last Name:SAVAGLIO
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 ECHO DR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-8914
Mailing Address - Country:US
Mailing Address - Phone:262-515-3717
Mailing Address - Fax:
Practice Address - Street 1:7395 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3190
Practice Address - Country:US
Practice Address - Phone:719-268-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3636WI1223G0001X
CO002041841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3636WIOtherWISCONSIN DENTAL LICENSE
WI391559894OtherTAX IDENTIFICATION NUMBER