OrganizationActive
Academy Kids Dental Center PC
NPI 1700489903 · General Practice Dentistry · Colorado Springs, CO
Provider details
- NPI number
- 1700489903
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Academy Kids Dental Center PC
- Organization subpart
- Yes
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2436 S Academy Blvd
Colorado Springs, CO 80916-2408
Phone: (719) 391-2336
Street-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
- 2020-11-19
- Last updated
- 2020-11-19
- 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.