Provider Demographics
NPI:1881427458
Name:GARLINGTON-DOUGHTY, NICOLE MARY (EFDA, RDH)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARY
Last Name:GARLINGTON-DOUGHTY
Suffix:
Gender:F
Credentials:EFDA, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8329 FREESTAR WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-9454
Mailing Address - Country:US
Mailing Address - Phone:407-451-0022
Mailing Address - Fax:
Practice Address - Street 1:8329 FREESTAR WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80925-9454
Practice Address - Country:US
Practice Address - Phone:407-451-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002027012124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist