PALMER PARK DENTISTRY, PLLC
NPI 1487467684
Dentist - General Practice in Colorado Springs, CO

Active since January 30, 2025
3208 N ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80917(719) 301-5300(719) 301-5303 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmer Park Dentistry, Pllc NPPES

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

PALMER PARK DENTISTRY, PLLC (NPI 1487467684), doing business as Palmer Park Dentistry, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since January 2025. The organization lists Nick Sundiam, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1487467684
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePALMER PARK DENTISTRY, PLLC
Location Address3208 N ACADEMY BLVD STE 140Colorado Springs, CO 80917-5111
Mailing Address3208 N Academy Blvd Ste 140Colorado Springs, CO 80917-5111 · (719) 301-5300 · Fax (719) 301-5303
Fax(719) 301-5303
Organization SubpartNo
Authorized OfficialNick SundiamCredentialing Manager · (719) 301-5300
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1487467684 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.
3208 N ACADEMY BLVD STE 140, Colorado Springs, CO 80917

Other Names 1

Doing Business AsPalmer Park Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Dentist
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917

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 Palmer Park Dentistry, PLLC's NPI number?

The NPI number for Palmer Park Dentistry, PLLC is 1487467684. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Palmer Park Dentistry.

Where is Palmer Park Dentistry, PLLC located?

Palmer Park Dentistry, PLLC is located at 3208 N Academy Blvd Ste 140, Colorado Springs, CO 80917. The listed phone number is (719) 301-5300.

What is Palmer Park Dentistry, PLLC'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 Palmer Park Dentistry, PLLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.