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

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1093398216

Colorado Dental Orthodontist Practice, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2021.

In the registry since
2021
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

6514 S Academy Blvd
Colorado Springs, CO 80906-8614
Phone: (719) 494-0718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1093398216
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColorado Dental Orthodontist Practice, PLLC
Authorized official Michelle Johnson — Credentialing Specialist · (509) 315-8338
Other names South Springs Orthodontics
NPI enumeratedMay 5, 2021
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address6514 S Academy Blvd, Colorado Springs, CO 80906-8614

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