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COLORADO DENTAL SPECIALIST PRACTICE, LLC
NPI 1790339323
Dentist - Periodontics in Denver, CO

Active since July 31, 2019
200 QUEBEC ST UNIT 105, DENVER, CO 80230(303) 364-6659 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 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 1790339323), doing business as Colorado Dental Specialists, is a healthcare organization registered as a periodontics in Denver, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1790339323
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOLORADO DENTAL SPECIALIST PRACTICE, LLC
Location Address200 QUEBEC ST UNIT 105Denver, CO 80230-7144
Mailing Address200 Quebec St Unit 105Denver, CO 80230-7144 · (303) 364-6659
Phone(303) 364-6659
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 31, 2019
✔ NPI 1790339323 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
200 QUEBEC ST UNIT 105, Denver, CO 80230
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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 3

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

SADAF KHALID DMD
Dentist (General Practice)
200 QUEBEC ST UNIT 105
DENVER, CO 80230
Denver County (303) 364-6659
DR. SAMUEL GREY MILLER DMD
Dentist
200 QUEBEC ST UNIT 105
DENVER, CO 80230
Denver County (859) 492-4876
MY LOCAL COLORADO DENTAL PRACTICE, LLC
Dentist (General Practice)
200 QUEBEC ST UNIT 105
DENVER, CO 80230
Denver County (303) 364-6659

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 1790339323. It was assigned to this organization in the NPPES registry on July 31, 2019. The provider is doing business as Colorado Dental Specialists, Colorado Endodontic Group and Colorado Orthodontic Group.

Where is Colorado Dental Specialist Practice, LLC located?

Colorado Dental Specialist Practice, LLC is located at 200 Quebec St Unit 105, Denver, CO 80230. The listed phone number is (303) 364-6659.

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 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.