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

Colorado Dental Specialist Practice, LLC

Organization Endodontics · NPI 1396399929

Colorado Dental Specialist Practice, LLC is an Endodontics in Greeley, Colorado. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

1600 23rd Ave Ste 200
Greeley, CO 80634-6071
Phone: (970) 353-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X
Endodontics Taxonomy 1223E0200X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1396399929
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColorado Dental Specialist Practice, LLC
Authorized official Michelle Johnson — Credentialing Specialist · (509) 315-8338
Other names Colorado Dental Specialists; Colorado Endodontic Group; Colorado Orthodontic Group
NPI enumeratedJuly 31, 2019
Last updated in NPPESJuly 31, 2019
Mailing address1600 23rd Ave Ste 200, Greeley, CO 80634-6071

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