Provider Demographics
NPI:1841454295
Name:DAVIES, KRISTI ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:ANN
Last Name:DAVIES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 ERINDALE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1984
Mailing Address - Country:US
Mailing Address - Phone:719-639-3554
Mailing Address - Fax:719-630-3558
Practice Address - Street 1:5725 ERINDALE DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1984
Practice Address - Country:US
Practice Address - Phone:719-639-3554
Practice Address - Fax:719-630-3558
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice