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BROADMOOR DENTAL, LLC
NPI 1295037646
Dentist - General Practice in Colorado Springs, CO

Active since November 17, 2010
1930 S NEVADA AVE, COLORADO SPRINGS, CO 80905(719) 576-5566(719) 576-1100 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadmoor Dental, Llc NPPES

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

BROADMOOR DENTAL, LLC (NPI 1295037646) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since November 2010. The organization lists Nicolas Roger Pruett, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1295037646
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROADMOOR DENTAL, LLC
Location Address1930 S NEVADA AVEColorado Springs, CO 80905-3407
Mailing Address1930 S Nevada AveColorado Springs, CO 80905-3407 · (719) 576-5566 · Fax (719) 576-1100
Phone(719) 576-5566
Fax(719) 576-1100
Organization SubpartNo
Authorized OfficialNicolas Roger PruettOwner/dentist · (719) 576-5566
Enumeration DateNovember 17, 2010
✔ NPI 1295037646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CO · 8913✔ Licensed in CO · 9966✔ Licensed in CO · 9952
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDental HygienistTaxonomy 124Q00000X · License 905802 (CO), 905995 (CO), 906138 (CO)
1930 S NEVADA AVE, Colorado Springs, CO 80905
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

COLORADO DENTAL PROFESSIONALS, LLC
Dentist
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
El Paso County (719) 576-5566
AIMEE DEAN
Dental Hygienist
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
El Paso County (719) 576-5566
MR. CHRISTOPHER DANIEL MAZZOLA D.D.S.
Dentist
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
El Paso County (719) 576-5566
DR. CHRISTINA MARIE MAZZOLA D.D.S.
Dentist (General Practice)
1930 S NEVADA AVE
COLORADO SPRINGS, CO 80905
El Paso County (719) 576-5566

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 Broadmoor Dental, LLC's NPI number?

The NPI number for Broadmoor Dental, LLC is 1295037646. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is Broadmoor Dental, LLC located?

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

What is Broadmoor Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Broadmoor Dental, LLC accept?

Health plans from UnitedHealthcare list Broadmoor Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broadmoor Dental, LLC was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.