Organization
MY LOCAL COLORADO DENTAL PRACTICE, LLC
Active
Other names
My Dentist, KIP Dental and Orthodontics, Stapleton Modern Dental, 38th Modern Dental, Castle Pines Dental Group, East Harmony Dental, Flatirons Family Dental and Orthodontics, College Ave Modern Dental, Panorama Dental, South Springs Dental Group, All Smiles Dental Group, Fountain Dental Center, Mountain Shadows Dental, Advantage Dental Group, Woodland Park Dental Group, Hampden Dental Group, Apple Tree Dental, Stetson Hills Dental, Windsor Family Dentistry, Greeley Dental Health, Highlands Ranch Dental Group, Lone Tree Modern Dental, GVR Dental and Orthodontics, Lowry Main Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON (CREDENTIALING SPECIALIST)
(509) 315-8338
Entity
Organization
Contact information
Practice address
6110 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 630-3366
Mailing address
6110 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 266-2717
(719) 213-2311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
03/20/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us