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COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1487208013
Dentist - Periodontics in Lone Tree, CO

Active since July 31, 2019
10461 PARK MEADOWS DR BLDG 4, LONE TREE, CO 80124(303) 534-2626 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colorado Dental Specialist Practice, Llc NPPES

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

COLORADO DENTAL SPECIALIST PRACTICE, LLC (NPI 1487208013), doing business as Colorado Dental Specialists, is a healthcare organization registered as a periodontics in Lone Tree, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1487208013
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC
Location Address10461 PARK MEADOWS DR BLDG 4Lone Tree, CO 80124-5306
Mailing Address10461 Park Meadows Dr Bldg 4Lone Tree, CO 80124-5306 · (303) 534-2626
Phone(303) 534-2626
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 31, 2019
✔ NPI 1487208013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
10461 PARK MEADOWS DR BLDG 4, Lone Tree, CO 80124
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Other Names 3

Doing Business AsColorado Dental Specialists
Doing Business AsColorado Endodontic Group
Doing Business AsColorado Orthodontic 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

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC
Dentist (General Practice)
10461 PARK MEADOWS DR BLDG 4
LONE TREE, CO 80124
Douglas County (303) 534-2626

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 Colorado Dental Specialist Practice, LLC's NPI number?

The NPI number for Colorado Dental Specialist Practice, LLC is 1487208013. It was assigned to this organization in the NPPES registry on July 31, 2019.

Where is Colorado Dental Specialist Practice, LLC located?

Colorado Dental Specialist Practice, LLC is located at 10461 Park Meadows Dr Bldg 4, Lone Tree, CO 80124. The listed phone number is (303) 534-2626.

What is Colorado Dental Specialist Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Colorado Dental Specialist Practice, LLC was last updated on July 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.