Colorado Dental Specialist Practice, LLC

NPI #1730733361 in Highlands Ranch, Colorado

Provider Information

NPI Number
1730733361
Entity Type
Organization
Organization Name
Colorado Dental Specialist Practice, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COLORADO DENTAL SPECIALIST PRACTICE, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jul 31, 2019
Last Updated
Jul 31, 2019

Practice Location

Address
9385 S COLORADO BLVD UNIT 102
ZIP Code
80126-5241
Phone
(720) 439-2984

Authorized Official

Name
MICHELLE JOHNSON
Title
CREDENTIALING SPECIALIST
Phone
(509) 315-8338

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - PeriodonticsPeriodontics

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Organizations

Provider Name
Norouzinia Periodontics, P.c.NewBizBotAI Deep Dive

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