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COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1124672753
Dentist - Periodontics in Superior, CO

Active since July 31, 2019
1691 COALTON RD, SUPERIOR, CO 80027(720) 304-3267 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colorado Dental Specialist Practice, Llc NPPES

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

COLORADO DENTAL SPECIALIST PRACTICE, LLC (NPI 1124672753), doing business as Colorado Dental Specialists, is a healthcare organization registered as a periodontics in Superior, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124672753
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC
Location Address1691 COALTON RDSuperior, CO 80027-4681
Mailing Address1691 Coalton RdSuperior, CO 80027-4681 · (720) 304-3267
Phone(720) 304-3267
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 31, 2019
✔ NPI 1124672753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
1691 COALTON RD, Superior, CO 80027
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Other Names 3

Doing Business AsColorado Dental Specialists
Doing Business AsColorado Endodontic Group
Doing Business AsColorado Orthdontic Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC
Dentist (General Practice)
1691 COALTON RD
SUPERIOR, CO 80027
Boulder County (720) 304-3267
ALEXIS SAINT AMAND RDH
Dental Hygienist
1691 COALTON RD
SUPERIOR, CO 80027
Boulder County (720) 304-3267

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 Specialist Practice, LLC's NPI number?

The NPI number for Colorado Dental Specialist Practice, LLC is 1124672753. It was assigned to this organization in the NPPES registry on July 31, 2019. The provider is doing business as Colorado Dental Specialists, Colorado Endodontic Group and Colorado Orthdontic Group.

Where is Colorado Dental Specialist Practice, LLC located?

Colorado Dental Specialist Practice, LLC is located at 1691 Coalton Rd, Superior, CO 80027. The listed phone number is (720) 304-3267.

What is Colorado Dental Specialist Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Colorado Dental Specialist Practice, LLC was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.