MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI 1891436069
Dentist - General Practice in Colorado Springs, CO

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

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

Active since April 04, 2022

2730 N GATE BLVD, COLORADO SPRINGS, CO 80921(719) 394-8048 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About My Local Colorado Dental Practice, Llc NPPES

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI 1891436069), doing business as Modern Dental At Flying Horse, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since April 2022. The organization lists Gregory Kostelac, Data Analyst, as its authorized official.

NPPES Registry Identity

NPI1891436069

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC

Location Address2730 N GATE BLVDColorado Springs, CO 80921-3419

Mailing Address6110 Barnes RdColorado Springs, CO 80922-2600

Phone(719) 394-8048

Organization SubpartYes

Authorized OfficialGregory KostelacData Analyst · (719) 372-5605

Enumeration DateApril 4, 2022

NPPES CertifiedMarch 2, 2022

✔ NPI 1891436069 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.

2730 N GATE BLVD, Colorado Springs, CO 80921

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Other Names 1

Doing Business AsModern Dental At Flying Horse

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)

2730 N GATE BLVD
COLORADO SPRINGS, CO 80921

El Paso County (719) 394-8048

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 My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1891436069. It was assigned to this organization in the NPPES registry on April 4, 2022. The provider is doing business as Modern Dental At Flying Horse.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 2730 N Gate Blvd, Colorado Springs, CO 80921. The listed phone number is (719) 394-8048.

What is My Local Colorado Dental Practice, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for My Local Colorado Dental Practice, LLC was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.