WOODMOOR FAMILY DENTISTRY
NPI 1346833571
Clinic/Center - Dental in Monument, CO

Active since February 18, 2021
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132(719) 488-3014(719) 488-3015 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodmoor Family Dentistry NPPES

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

WOODMOOR FAMILY DENTISTRY (NPI 1346833571), doing business as Woodmoor Dental, is a healthcare organization registered as a dental in Monument, Colorado and active in the NPI registry since February 2021. The organization lists Andrew Wilson Dethloff, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1346833571
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWOODMOOR FAMILY DENTISTRY
Location Address1777 LAKE WOODMOOR DRMonument, CO 80132-9074
Mailing Address1777 Lake Woodmoor DrMonument, CO 80132-9074 · (719) 488-3014 · Fax (719) 488-3015
Fax(719) 488-3015
Organization SubpartNo
Authorized OfficialAndrew Wilson DethloffOwner/dentist · (719) 488-3014
Enumeration DateFebruary 18, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1346833571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1777 LAKE WOODMOOR DR, Monument, CO 80132

Other Names 1

Former Legal Business NameWoodmoor Dental

Other Identifiers 1

Medicaid9000181282CO

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dental Hygienist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
Clinic/Center (Dental)
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
Dentist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
Dentist (General Practice)
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
Dental Hygienist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132

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 Woodmoor Family Dentistry's NPI number?

The NPI number for Woodmoor Family Dentistry is 1346833571. It was assigned to this organization in the NPPES registry on February 18, 2021. The provider was formerly known as Woodmoor Dental.

Where is Woodmoor Family Dentistry located?

Woodmoor Family Dentistry is located at 1777 Lake Woodmoor Dr, Monument, CO 80132. The listed phone number is (719) 488-3014.

What is Woodmoor Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Woodmoor Family Dentistry accept?

Health plans from UnitedHealthcare list Woodmoor Family Dentistry 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 Woodmoor Family Dentistry was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.