Organization · Type 2 NPI

Colorado Dental Professionals, LLC

General Practice Dentistry · Colorado Springs, CO

NPI number 1962059931 Active

Practice location

655 Southpointe Ct Ste 150
Colorado Springs, CO 80906-3859

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.

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NPI record

NPI: 1962059931
Entity type: Organization (Type 2)
Issued: Aug 23, 2019
Last updated: Mar 28, 2023
Status: Active
Subpart: Yes of Colorado Dental Professionals, LLC

Other names

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Southpointe Complete Dental · doing business as
Southpointe Complete Dental · doing business as

Authorized official

Hannah Fish
Credentialing Manager
(217) 540-5699

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 1962059931

Colorado Dental Professionals, LLC's National Provider Identifier is 1962059931, issued on Aug 23, 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 Mar 28, 2023.