COLORADO DENTAL PROFESSIONALS LLC NPI 1720171564

NPI Information

  • NPI: 1720171564
  • Provider Name: COLORADO DENTAL PROFESSIONALS, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: MESA RIDGE DENTAL CENTER
  • Address: 6980 MESA RIDGE PARKWAY
    SUITE 200
    FOUNTAIN, CO
    ZIP 80817
  • Phone: (719) 392-4231

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NPI Details

COLORADO DENTAL PROFESSIONALS, LLC is a general practice dentist in Fountain, CO. The provider is 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. COLORADO DENTAL PROFESSIONALS, LLC NPI is 1720171564. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mesa Ridge Dental Center.

The provider's business location address is:

6980 MESA RIDGE PARKWAY
SUITE 200
FOUNTAIN, CO
ZIP 80817
Phone: (719) 392-4231
Fax: (719) 392-9096

The provider's authorized official is Brittany N Howard .
The authorized official title is Cred Coordinator and has the following contact phone number (217) 540-8946.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 11/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice270COLORADOYes

What is NPI?

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This page was last updated on: 3/30/2025

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