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CROSSROADS FAMILY DENTISTRY
NPI 1396137907
Dentist - General Practice in Colorado Springs, CO

Active since February 19, 2015
1079 SPACE CENTER DR, SUITE 100, COLORADO SPRINGS, CO 80915(719) 596-3481(719) 596-9114 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crossroads Family Dentistry NPPES

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

CROSSROADS FAMILY DENTISTRY (NPI 1396137907) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since February 2015. The organization lists Ryan Tyng, Dentist, as its authorized official.

NPPES Registry Identity

NPI1396137907
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCROSSROADS FAMILY DENTISTRY
Location Address1079 SPACE CENTER DR, SUITE 100Colorado Springs, CO 80915-3612
Mailing Address1079 Space Center Dr, Suite 100Colorado Springs, CO 80915-3612 · (719) 596-3481 · Fax (719) 596-9114
Phone(719) 596-3481
Fax(719) 596-9114
Organization SubpartNo
Authorized OfficialRyan TyngDentist · (719) 596-3481
Enumeration DateFebruary 19, 2015
✔ NPI 1396137907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 10399
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.

1079 SPACE CENTER DR, Colorado Springs, CO 80915
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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 17

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

JESSICA ROGERS
Behavior Analyst
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398
KATELYN MARIE CULLIP
Behavior Technician
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398
SETH BAKER
Behavior Technician
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398
SAMARA JACKLYN ROMERO
Behavior Technician
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (719) 372-5752
KAITLYN MARIE YOUNG
Behavior Technician
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398
OLUWADAMILARE PRECIOUS EZEKIEL
Behavior Analyst
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398
LILLY-ROSE F MCELWEE B.S., RBT
Behavior Analyst
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (855) 754-0398
RYLEY PICKLE
Behavior Technician
1079 SPACE CENTER DR
COLORADO SPRINGS, CO 80915
El Paso County (888) 754-0398

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 Crossroads Family Dentistry's NPI number?

The NPI number for Crossroads Family Dentistry is 1396137907. It was assigned to this organization in the NPPES registry on February 19, 2015.

Where is Crossroads Family Dentistry located?

Crossroads Family Dentistry is located at 1079 Space Center Dr Suite 100, Colorado Springs, CO 80915. The listed phone number is (719) 596-3481.

What is Crossroads Family Dentistry'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 Crossroads Family Dentistry was last updated on February 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.