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

Mr. Elijah Fonseca, DENTALTECHNICIAN

Individual provider Prosthodontics · NPI 1730888215

Mr. Elijah Fonseca, DENTALTECHNICIAN is a Prosthodontics in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2023
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Practice location Address checks out

2521 N Tejon St Rear Alley
Colorado Springs, CO 80907-6836
Phone: (719) 308-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence R00782832 (CO)

Record details

NPI number1730888215
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTALTECHNICIAN
Sole proprietorYes
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023

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