Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nathanael Bannon, DDS

Individual provider Dentist · NPI 1750757423

Dr. Nathanael Bannon, DDS is a Dentist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2015.

Licensed in
CO
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917-5111
Phone: (719) 301-5300
Fax: (719) 301-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 00202572 (CO)

Record details

NPI number1750757423
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015

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