COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1740834381
Dentist - Oral and Maxillofacial Surgery in Westminster, CO

Active since July 31, 2019
1005 W 120TH AVE STE 800, WESTMINSTER, CO 80234(720) 263-5420 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About COLORADO DENTAL SPECIALIST PRACTICE, LLC

This page provides the complete NPI Profile along with additional information for Colorado Dental Specialist Practice, Llc, a provider established in Westminster, Colorado operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1740834381 assigned on July 2019. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Colorado Dental Specialist Practice, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Johnson (Credentialing Specialist)

NPI
1740834381 Verify this NPI
Provider Name
COLORADO DENTAL SPECIALIST PRACTICE, LLC
Entity Type
Organization
Location Address
1005 W 120TH AVE STE 800 WESTMINSTER, CO 80234
Location Phone
(720) 263-5420
Mailing Address
1005 W 120TH AVE STE 800 WESTMINSTER, CO 80234
Mailing Phone
(720) 263-5420
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-31-2019
Last Update Date
07-31-2019
Code Navigator

A dentist like Colorado Dental Specialist Practice, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE JOHNSON

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(509) 315-8338

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
1005 W 120TH AVE STE 800
WESTMINSTER, CO 80234
Dentist (Oral and Maxillofacial Surgery)
1005 W 120TH AVE STE 800
WESTMINSTER, CO 80234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740834381, enumerated as an "organization" on July 31, 2019.

The provider is located at 1005 W 120TH AVE STE 800 WESTMINSTER, CO 80234 and the phone number is (720) 263-5420.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.