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

Q: What is Colorado Dental Specialist Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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: August 16, 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 1740834381), doing business as Colorado Oral Surgery Group, is a healthcare organization registered as an oral and maxillofacial surgery in Westminster, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740834381

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC

Location Address1005 W 120TH AVE STE 800Westminster, CO 80234-2747

Mailing Address1005 W 120th Ave Ste 800Westminster, CO 80234-2747 · (720) 263-5420

Phone(720) 263-5420

Organization SubpartYes

Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338

Enumeration DateJuly 31, 2019

✔ NPI 1740834381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

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.

1005 W 120TH AVE STE 800, Westminster, CO 80234

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Other Names 1

Doing Business AsColorado Oral Surgery 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 2

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

SARAH SOHYUN BONG-THAKUR DDS

Dentist (Oral and Maxillofacial Surgery)

1005 W 120TH AVE STE 800
WESTMINSTER, CO 80234

Adams County (720) 263-5420

COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

1005 W 120TH AVE STE 800
WESTMINSTER, CO 80234

Adams County (720) 263-5420

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 1740834381. It was assigned to this organization in the NPPES registry on July 31, 2019. The provider is doing business as Colorado Oral Surgery Group.

Where is Colorado Dental Specialist Practice, LLC located?

Colorado Dental Specialist Practice, LLC is located at 1005 W 120th Ave Ste 800, Westminster, CO 80234. The listed phone number is (720) 263-5420.

What is Colorado Dental Specialist Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.