Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broadmoor Dental, LLC

Organization General Practice Dentistry · NPI 1295037646

Broadmoor Dental, LLC is a General Practice Dentistry in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2010.

Licensed in
CO
In the registry since
2010
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1930 S Nevada Ave
Colorado Springs, CO 80905-3407
Phone: (719) 576-5566
Fax: (719) 576-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8913 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9966 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9952 (CO)
Dental Hygienist Taxonomy 124Q00000X · Licence 905802 (CO)
Dental Hygienist Taxonomy 124Q00000X · Licence 905995 (CO)
Dental Hygienist Taxonomy 124Q00000X · Licence 906138 (CO)

Record details

NPI number1295037646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolas Pruett — Owner/Dentist · (719) 576-5566
NPI enumeratedNovember 17, 2010
Last updated in NPPESNovember 17, 2010
Mailing address1930 S Nevada Ave, Colorado Springs, CO 80905-3407

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