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

Individual provider General Practice Dentistry · NPI 1548893928

Dr. Andrew Wilson Dethloff, DDSMA is a General Practice Dentistry in Monument, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
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Practice location Address checks out

1777 Lake Woodmoor Dr
Monument, CO 80132-9074
Phone: (719) 488-3014
Fax: (719) 488-3015
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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 00204282 (CO)

Record details

NPI number1548893928
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMA
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address1777 Lake Woodmoor Dr, Monument, CO 80132-9074

Other providers in Monument