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DR. ANDREW WILSON DETHLOFF DDS. MA
NPI 1548893928
Dentist - General Practice in Monument, CO

Active since February 13, 2020
1777 LAKE WOODMOOR DR, MONUMENT, CO 80132(719) 488-3014(719) 488-3015 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2021, Feb 13, 2020 (2 updates tracked since 2020).

About Dr. Andrew Wilson Dethloff Dds. Ma NPPES

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

DR. ANDREW WILSON DETHLOFF DDS. MA (NPI 1548893928) is an individual general practice provider in Monument, Colorado, licensed in Colorado (00204282) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1548893928
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW WILSON DETHLOFFCredential: DDS. MA
Location Address1777 LAKE WOODMOOR DRMonument, CO 80132-9074
Mailing Address1777 Lake Woodmoor DrMonument, CO 80132-9074 · (719) 488-3014 · Fax (719) 488-3015
Phone(719) 488-3014
Fax(719) 488-3015
Sole ProprietorYes
Enumeration DateFebruary 13, 2020
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
✔ NPI 1548893928 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 · 00204282
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.
1777 LAKE WOODMOOR DR, Monument, CO 80132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

ROBERTA DEE BENZ
Dental Hygienist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
El Paso County (719) 488-3014
WOODMOOR DENTAL
Clinic/Center (Dental)
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
El Paso County (719) 488-3014
PALMER RIDGE DENTAL AND ORTHODONTICS
Dentist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
El Paso County (719) 488-3014
WOODMOOR FAMILY DENTISTRY
Clinic/Center (Dental)
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
El Paso County (719) 488-3014
MRS. LAURA LEA HOFFMAN R.D.H.
Dental Hygienist
1777 LAKE WOODMOOR DR
MONUMENT, CO 80132
El Paso County (719) 488-3014

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 Andrew Dethloff's NPI number?

The NPI number for Andrew Dethloff is 1548893928. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Andrew Dethloff located?

Andrew Dethloff practices at 1777 Lake Woodmoor Dr, Monument, CO 80132. The listed phone number is (719) 488-3014.

What is Andrew Dethloff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Andrew Dethloff accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Andrew Dethloff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Dethloff was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.