COLORADO DENTAL PROFESSIONALS, LLC
NPI 1093456857
Dentist in Colorado Springs, CO

Active since April 05, 2022
1930 S NEVADA AVE, COLORADO SPRINGS, CO 80905(719) 576-5566 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colorado Dental Professionals, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO DENTAL PROFESSIONALS, LLC (NPI 1093456857), doing business as Broadmoor Dental, is a healthcare organization registered as a dentist in Colorado Springs, Colorado and active in the NPI registry since April 2022. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093456857
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOLORADO DENTAL PROFESSIONALS, LLC
Location Address1930 S NEVADA AVEColorado Springs, CO 80905-3407
Mailing Address1930 S Nevada AveColorado Springs, CO 80905-3407
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1093456857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1930 S NEVADA AVE, Colorado Springs, CO 80905

Other Names 1

Doing Business AsBroadmoor Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
Dentist (General Practice)
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
Dentist
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
Dentist (General Practice)
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Dental Professionals, LLC's NPI number?

The NPI number for Colorado Dental Professionals, LLC is 1093456857. It was assigned to this organization in the NPPES registry on April 5, 2022. The provider is doing business as Broadmoor Dental.

Where is Colorado Dental Professionals, LLC located?

Colorado Dental Professionals, LLC is located at 1930 S Nevada Ave, Colorado Springs, CO 80905. The listed phone number is (719) 576-5566.

What is Colorado Dental Professionals, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Colorado Dental Professionals, LLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.