MY LOCAL COLORADO DENTAL PRACTICE, LLC - NPI 1316591076

Q: What is My Local Colorado Dental Practice, LLC's specialty?

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

On this page

About My Local Colorado Dental Practice, Llc NPPES

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI 1316591076), doing business as Woodland Park Dental Group, is a healthcare organization registered as a general practice in Woodland Park, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1316591076

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC

Location Address150 MORNING SUN DR STE 200WWoodland Park, CO 80863-9160

Mailing Address150 Morning Sun Dr Ste 200wWoodland Park, CO 80863-9160 · (719) 484-8490

Phone(719) 484-8490

Organization SubpartYes

Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338

Enumeration DateJuly 30, 2019

✔ NPI 1316591076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

150 MORNING SUN DR STE 200W, Woodland Park, CO 80863

Open in Google Maps ↗

Other Names 1

Doing Business AsWoodland Park Dental 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.

COLORADO DENTAL SPECIALIST PRACTICE, LLC

Dentist (Periodontics)

150 MORNING SUN DR STE 200W
WOODLAND PARK, CO 80863

Teller County (719) 484-8490

COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

150 MORNING SUN DR STE 200W
WOODLAND PARK, CO 80863

Teller County (719) 484-8490

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 My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1316591076. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 150 Morning Sun Dr Ste 200W, Woodland Park, CO 80863. The listed phone number is (719) 484-8490.

What is My Local Colorado Dental Practice, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for My Local Colorado Dental Practice, LLC was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.