OrganizationActive
Academy Kids Dental Center PC
NPI 1487683330 · General Practice Dentistry · Colorado Springs, CO
Provider details
- NPI number
- 1487683330
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
- License
- 7992 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2436 S Academy Blvd
Colorado Springs, CO 80916-2408
Phone: (719) 391-2336
Fax: (719) 391-1625
Approximate (ZIP-level) locationGet directions
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Other names (DBA / former)
- Doing business as
- Academy Kids Dental, Vision and Orthodontics
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2020-11-18
- Certified
- 2020-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.