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MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI 1457905119
Dentist - General Practice in Colorado Springs, CO

Active since July 30, 2019
6514 S ACADEMY BLVD, COLORADO SPRINGS, CO 80906(719) 494-0718 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1457905119), doing business as South Springs Dental Group, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1457905119
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC
Location Address6514 S ACADEMY BLVDColorado Springs, CO 80906-8614
Mailing Address6514 S Academy BlvdColorado Springs, CO 80906-8614
Phone(719) 494-0718
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 30, 2019
✔ NPI 1457905119 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.
6514 S ACADEMY BLVD, Colorado Springs, CO 80906
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Other Names 1

Doing Business AsSouth Springs 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 7

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

KASSIE LYNETTE JANE TAYLOR
Dental Hygienist
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 387-4385
COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 494-0718
COLORADO DENTAL SPECIALIST PRACTICE, LLC
Dentist (Periodontics)
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 494-0718
CHEYENNE MOUNTAIN CHILDREN'S DENTISTRY PC
Dentist (Pediatric Dentistry)
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 442-1960
BRITNY MASSEY DDS,PC
Dentist (General Practice)
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 442-1960
SOUTH SPRINGS DENTAL PROFESSIONAL LLC
Dentist (General Practice)
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 494-0718
LESLIE LEE RDH
Dental Hygienist
6514 S ACADEMY BLVD
COLORADO SPRINGS, CO 80906
El Paso County (719) 387-4385

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 1457905119. It was assigned to this organization in the NPPES registry on July 30, 2019. The provider is doing business as South Springs Dental Group.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 6514 S Academy Blvd, Colorado Springs, CO 80906. The listed phone number is (719) 494-0718.

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 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.