Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Colorado Springs, CO

NPI number 1639770449 Active

Practice location

10807 New Allegiance Dr Ste 465
Colorado Springs, CO 80921-3722

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.

2 other providers at this address

Other general practice dentistry providers in Colorado Springs

See all in Colorado Springs →

NPI record

NPI: 1639770449
Entity type: Organization (Type 2)
Issued: Nov 6, 2020
Last updated: Nov 6, 2020
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

Exceptional Smiles · 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.

Is this your record? How to update it.

About NPI 1639770449

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1639770449, issued on Nov 6, 2020. 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 Nov 6, 2020.