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

Parker Theodore Kastelic I, DMD

Individual provider Dentist · NPI 1104494632

Parker Theodore Kastelic I, DMD is a Dentist in Trinidad, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2124 Freedom Rd
Trinidad, CO 81082-1210
Phone: (719) 422-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 00204748 (CO)

Record details

NPI number1104494632
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 7, 2021

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