Provider Demographics
NPI:1184890915
Name:HG STRINGERT DDS, MS, PC
Entity type:Organization
Organization Name:HG STRINGERT DDS, MS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:STRINGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:719-564-3333
Mailing Address - Street 1:3955 SANDLEWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005
Mailing Address - Country:US
Mailing Address - Phone:719-564-3333
Mailing Address - Fax:719-565-0369
Practice Address - Street 1:3955 SANDLEWOOD LANE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005
Practice Address - Country:US
Practice Address - Phone:719-564-3333
Practice Address - Fax:719-565-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COH-D-I 051021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04005906Medicaid