Provider Demographics
NPI:1619036696
Name:ARANGO, JOSE MIGUEL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MIGUEL
Last Name:ARANGO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 OPUS DR.
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906
Mailing Address - Country:US
Mailing Address - Phone:719-579-9773
Mailing Address - Fax:719-579-9768
Practice Address - Street 1:4731 OPUS DR.
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906
Practice Address - Country:US
Practice Address - Phone:719-579-9773
Practice Address - Fax:719-579-9768
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO79051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO707114OtherUNITED CONCORDIA TAX ID
CO971448OtherUNITED CONCORDIA TAX ID
CO521945716OtherFEDERAL TAX ID
CO83284745Medicaid