COLORADO DENTAL SPECIALIST PRACTICE LLC NPI 1730733361

NPI Information

COLORADO DENTAL SPECIALIST PRACTICE, LLC is a periodontics dentist in Highlands Ranch, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. COLORADO DENTAL SPECIALIST PRACTICE, LLC NPI is 1730733361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9385 S COLORADO BLVD UNIT 102
HIGHLANDS RANCH, CO
ZIP 80126-241
Phone: (720) 439-2984

The provider's authorized official is Michelle Johnson .
The authorized official title is Credentialing Specialist and has the following contact phone number (509) 315-8338.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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