OrganizationActive
Colorado Dental Specialist Practice, LLC
NPI 1336793967 · Periodontics · Denver, CO
Provider details
- NPI number
- 1336793967
- 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
Established profile(66/100 index)
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
7505 E 35th Ave Unit 304
Denver, CO 80238-2460
Phone: (303) 785-8991
Street-level locationGet directions
Mailing address
7505 E 35th Ave Unit 304
Denver, CO 80238-2460
Other names (DBA / former)
- Doing business as
- Colorado Dental Specialists
- Doing business as
- Colorado Endodontic Group
- Doing business as
- Colorado Orthodontic Group
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 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.