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

Broadmoor Pdc PLLC

Organization General Practice Dentistry · NPI 1679341903

Broadmoor Pdc PLLC is a General Practice Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2965 Broadmoor Valley Rd
Colorado Springs, CO 80906-4407
Phone: (719) 632-7636
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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

Record details

NPI number1679341903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Christensen — Credentialing Specialist · (801) 305-3460
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing addressPo Box 970354, Orem, UT 84097-0354

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