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

Palmer Park Dentistry, PLLC

Organization General Practice Dentistry · NPI 1487467684

Palmer Park Dentistry, PLLC is a General Practice Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917-5111
Phone: (719) 301-5300
Fax: (719) 301-5303
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1487467684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Sundiam — Credentialing Manager · (719) 301-5300
Other names Palmer Park Dentistry
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 13, 2025
Mailing address3208 N Academy Blvd Ste 140, Colorado Springs, CO 80917-5111

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