COLORADO DENTAL SPECIALIST PRACTICE LLC NPI 1750727285

NPI Information

COLORADO DENTAL SPECIALIST PRACTICE, LLC is an oral and maxillofacial surgery dentist in Colorado Springs, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. COLORADO DENTAL SPECIALIST PRACTICE, LLC NPI is 1750727285. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colorado Dental Specialists.

The provider's business location address is:

6110 BARNES RD
COLORADO SPRINGS, CO
ZIP 80922-600
Phone: (719) 427-6390

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 5/10/2013 and was last updated on 7/31/2019.

Taxonomy Codes

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Other Identifiers

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