Provider Demographics
NPI:1245491133
Name:KINGSFORD, DANIEL C (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:KINGSFORD
Suffix:
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 1:14104 BLUE CANYON GRV
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2873
Mailing Address - Country:US
Mailing Address - Phone:719-434-1233
Mailing Address - Fax:
Practice Address - Street 1:3952 N ACADEMY BLVD STE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5910
Practice Address - Country:US
Practice Address - Phone:719-591-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice