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

Mountain Shadows Family Dentistry, PC

Organization General Practice Dentistry · NPI 1801915665

Mountain Shadows Family Dentistry, PC is a General Practice Dentistry in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1045 Garden Of The Gods Rd Ste N
Colorado Springs, CO 80907-3436
Phone: (719) 598-3502
Fax: (719) 598-9264
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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 105376 (CO)

Record details

NPI number1801915665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Holsteen — President · (719) 598-3502
NPI enumeratedMarch 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1045 Garden Of The Gods Road, Suite N, Colorado Springs, CO 80907-3436

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