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COLORADO DENTAL PROFESSIONALS, LLC
NPI 1932909611
Dentist - General Practice in Colorado Springs, CO

Active since March 13, 2025
13590 ROLLER COASTER RD, STE 100, COLORADO SPRINGS, CO 80921(719) 623-1710(719) 623-1726 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colorado Dental Professionals, Llc NPPES

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

COLORADO DENTAL PROFESSIONALS, LLC (NPI 1932909611), doing business as Lodge Dental Care, is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since March 2025. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1932909611
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLORADO DENTAL PROFESSIONALS, LLC
Location Address13590 ROLLER COASTER RD, STE 100Colorado Springs, CO 80921-2155
Mailing Address13590 Roller Coaster Rd, Ste 100Colorado Springs, CO 80921-2155
Phone(719) 623-1710
Fax(719) 623-1726
Organization SubpartYes
Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1932909611 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.
13590 ROLLER COASTER RD, Colorado Springs, CO 80921
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Other Names 1

Doing Business AsLodge Dental Care

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

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 Professionals, LLC's NPI number?

The NPI number for Colorado Dental Professionals, LLC is 1932909611. It was assigned to this organization in the NPPES registry on March 13, 2025. The provider is doing business as Lodge Dental Care.

Where is Colorado Dental Professionals, LLC located?

Colorado Dental Professionals, LLC is located at 13590 Roller Coaster Rd Ste 100, Colorado Springs, CO 80921. The listed phone number is (719) 623-1710.

What is Colorado Dental Professionals, 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 Colorado Dental Professionals, LLC was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.