Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Colorado Springs, CO

NPI number 1891436069 Active

Practice location

2730 N Gate Blvd
Colorado Springs, CO 80921-3419

Call (719) 394-8048 Map

Mailing address

6110 Barnes Rd
Colorado Springs, CO 80922-2600

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.

Another provider at this address

My Local Colorado Dental Practice, LLCGeneral Practice Dentistry Colorado Springs, CO NPI 1891443073

Other general practice dentistry providers in Colorado Springs

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NPI record

NPI: 1891436069
Entity type: Organization (Type 2)
Issued: Apr 4, 2022
Last updated: Apr 4, 2022
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

Modern Dental at Flying Horse · doing business as

Authorized official

Gregory Kostelac
Data Analyst
(719) 372-5605

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 1891436069

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1891436069, issued on Apr 4, 2022. 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 Apr 4, 2022.