Individual provider · Type 1 NPI

Kyle James Anderson

General Practice Dentistry · Colorado Springs, CO

NPI number 1083407290 Active

Practice location

5430 Tutt Blvd
Colorado Springs, CO 80922-2515

Mailing address

16109 Penn Central Way
Monument, CO 80132-6120

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDEN.00206332 (CO)

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.

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About NPI 1083407290

Kyle James Anderson's National Provider Identifier is 1083407290, issued on May 28, 2025. 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 May 28, 2025.