Provider Demographics
NPI:1710373568
Name:DAVID J PRINGLE, DMD PLLC
Entity Type:Organization
Organization Name:DAVID J PRINGLE, DMD PLLC
Other - Org Name:WELLINGTON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:970-568-0030
Mailing Address - Street 1:7901 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-1516
Mailing Address - Country:US
Mailing Address - Phone:970-568-0030
Mailing Address - Fax:970-568-4227
Practice Address - Street 1:7901 6TH ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-1516
Practice Address - Country:US
Practice Address - Phone:970-568-0030
Practice Address - Fax:970-568-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00201922261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental