Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Colorado Springs, CO

NPI number 1003460726 Active

Practice location

3715 Bloomington St Unit 160
Colorado Springs, CO 80922-3207

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

7 other providers at this address

Other general practice dentistry providers in Colorado Springs

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NPI record

NPI: 1003460726
Entity type: Organization (Type 2)
Issued: Jul 31, 2019
Last updated: Jul 31, 2019
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

All Smiles Dental Group · doing business as

Authorized official

Michelle Johnson
Credentialing Specialist
(509) 315-8338

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003460726

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1003460726, issued on Jul 31, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 31, 2019.