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COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1679127203
Dentist - Periodontics in Fort Collins, CO

Active since July 31, 2019
3541 E HARMONY RD STE 130, FORT COLLINS, CO 80528(970) 829-8209 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 1679127203), doing business as Colorado Dental Specialists, is a healthcare organization registered as a periodontics in Fort Collins, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1679127203
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC
Location Address3541 E HARMONY RD STE 130Fort Collins, CO 80528-8816
Mailing Address3541 E Harmony Rd Ste 130Fort Collins, CO 80528-8816 · (970) 829-8209
Phone(970) 829-8209
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 31, 2019
✔ NPI 1679127203 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
3541 E HARMONY RD STE 130, Fort Collins, CO 80528
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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)
3541 E HARMONY RD STE 130
FORT COLLINS, CO 80528
Larimer County (970) 829-8209

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 1679127203. 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 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528. The listed phone number is (970) 829-8209.

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.