Organization · Type 2 NPI

Dental Health Professionals of Colorado

General Practice Dentistry · Colorado Springs, CO

NPI number 1710477732 Active

Practice location

830 Tenderfoot Hill Rd Ste 210
Colorado Springs, CO 80906-7372

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.

Other general practice dentistry providers in Colorado Springs

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NPI record

NPI: 1710477732
Entity type: Organization (Type 2)
Issued: May 15, 2018
Last updated: May 15, 2018
Status: Active
Subpart: Yes of Dental Health Professionals of Colorado

Other names

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Lake Avenue Dental · doing business as

Authorized official

Cassandra Petersen
Credentialing Team Lead
(217) 540-8972

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 1710477732

Dental Health Professionals of Colorado's National Provider Identifier is 1710477732, issued on May 15, 2018. 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 15, 2018.