Colorado Dental Specialist Practice, LLC
NPI 1124672753 · Periodontics · Superior, CO
Colorado Dental Specialist Practice, LLC is a Periodontics organization in Superior, CO (NPI 1124672753).
Provider details
- NPI number
- 1124672753
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Parent organization
- Colorado Dental Specialist Practice, LLC
- Organization subpart
- Yes
- Authorized official
- Michelle Johnson, Credentialing Specialist(509) 315-8338
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Colorado Dental Specialists
- Doing business as
- Colorado Endodontic Group
- Doing business as
- Colorado Orthdontic Group
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2019-07-31
Frequently asked questions
- What is Colorado Dental Specialist Practice, LLC's NPI number?
- Colorado Dental Specialist Practice, LLC's National Provider Identifier (NPI) is 1124672753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colorado Dental Specialist Practice, LLC?
- Colorado Dental Specialist Practice, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Colorado Dental Specialist Practice, LLC located?
- Colorado Dental Specialist Practice, LLC's practice location on file with NPPES is 1691 Coalton Rd, Superior, CO 80027-4681.
- What is Colorado Dental Specialist Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Colorado Dental Specialist Practice, LLC is (720) 304-3267.
- Who is the authorized official for Colorado Dental Specialist Practice, LLC?
- The authorized official listed on Colorado Dental Specialist Practice, LLC's NPPES record is Michelle Johnson, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colorado Dental Specialist Practice, LLC's NPI active?
- Yes — Colorado Dental Specialist Practice, LLC's NPI (1124672753) is active in the NPPES registry as of the last update on 2019-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.