LAKE AVENUE DENTAL
NPI 1710477732
Dentist - General Practice in Colorado Springs, CO

Q: What is Dental Health Professionals Of Colorado's specialty?

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

Active since May 15, 2018

830 TENDERFOOT HILL RD STE 210, COLORADO SPRINGS, CO 80906(719) 576-8840 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Avenue Dental NPPES

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

LAKE AVENUE DENTAL (NPI 1710477732) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since May 2018. The organization lists Cassandra Petersen, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1710477732

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL HEALTH PROFESSIONALS OF COLORADO

Location Address830 TENDERFOOT HILL RD STE 210Colorado Springs, CO 80906-7372

Mailing Address830 Tenderfoot Hill Rd Ste 210Colorado Springs, CO 80906-7372

Phone(719) 576-8840

Organization SubpartYes

Authorized OfficialCassandra PetersenCredentialing Team Lead · (217) 540-8972

Enumeration DateMay 15, 2018

✔ NPI 1710477732 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.

830 TENDERFOOT HILL RD STE 210, Colorado Springs, CO 80906

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Other Names 1

Doing Business AsLake Avenue Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Dental Health Professionals Of Colorado's NPI number?

The NPI number for Dental Health Professionals Of Colorado is 1710477732. It was assigned to this organization in the NPPES registry on May 15, 2018. The provider is doing business as Lake Avenue Dental.

Where is Dental Health Professionals Of Colorado located?

Dental Health Professionals Of Colorado is located at 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906. The listed phone number is (719) 576-8840.

What is Dental Health Professionals Of Colorado's specialty?

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

What insurance does Dental Health Professionals Of Colorado accept?

Health plans from UnitedHealthcare list Dental Health Professionals Of Colorado 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 Dental Health Professionals Of Colorado was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.