COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1497309058
Dentist - Periodontics in Colorado Springs, CO

Q: 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.

Active since July 31, 2019

3236 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907(719) 355-2700 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1497309058), doing business as All Smiles Orthodontics, is a healthcare organization registered as a periodontics 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

NPI1497309058

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC

Location Address3236 CENTENNIAL BLVDColorado Springs, CO 80907-4077

Mailing Address3236 Centennial BlvdColorado Springs, CO 80907-4077 · (719) 355-2700

Phone(719) 355-2700

Organization SubpartYes

Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338

Enumeration DateJuly 31, 2019

✔ NPI 1497309058 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

3236 CENTENNIAL BLVD, Colorado Springs, CO 80907

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Other Names 3

Doing Business AsAll Smiles Orthodontics

Doing Business AsColorado Dental Specialists

Doing Business AsColorado Endodontic 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.

ALISA DVARISHKIS DDS

Dentist