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

Otter Kids Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1588486575

Otter Kids Pediatric Dentistry PLLC is a Pediatric Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2024.

In the registry since
2024
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

1155 Kelly Johnson Blvd Ste 210
Colorado Springs, CO 80920
Phone: (719) 867-0550
Fax: (719) 867-3191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1588486575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Otterstedt — Owner · (719) 867-5500
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 25, 2024
Mailing address1294 Oakmont Dr, Colorado Springs, CO 80921-3762

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