MEDICARE: COLORADO DENTAL PROFESSIONALS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1134604671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO DENTAL PROFESSIONALS, LLC

Provider Business Mailing Address
First Line	:	7795 DUBLIN BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-7592
Country	:	US
Telephone Number	:	719-426-3471
Fax Number	:

Provider Business Practice Location Address
First Line	:	7795 DUBLIN BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-7592
Country	:	US
Telephone Number	:	719-493-9665
Fax Number	:	719-418-3452

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	JESSICA BRITT
Credential	:
Telephone Number	:	217-540-8426

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	03/28/2019

Similar Medicare Providers

1053898437 — LORRAINE JULIENNE LABAYEN DMD
Practice Location Address:

7795 DUBLIN BLVD
COLORADO SPRINGS, CO
80923-7592

Practice Phone: 217-540-5100
Practice Fax:

1841937356 — DR. CHRISTEN THOMPSON STIGGERS DDS
Practice Location Address:

7795 DUBLIN BLVD
COLORADO SPRINGS, CO
80923-7592

Practice Phone: 719-493-9665
Practice Fax:

1396420162 — DR. SARAH HALEY LENGA DMD
Practice Location Address:

7795 DUBLIN BLVD
COLORADO SPRINGS, CO
80923-7592

Practice Phone: 719-836-5837
Practice Fax:

1235122169 — SCOTT R PRICKETT O.D.
Practice Location Address:

3940 VIA DEL REY
BONITA SPRINGS, FL
34134-7592

Practice Phone: 239-466-2020
Practice Fax:

1790617108 — INNERPATH MENTAL HEALTH PLLC
Practice Location Address:

5721 AFRICAN DAISY CT
COLORADO SPRINGS, CO
80923-8841

Practice Phone: 719-895-0607
Practice Fax:

1427752914 — DR. AVERY MAKENZIE LANE MARTINO DDS
Practice Location Address:

5955 DUBLIN BLVD
COLORADO SPRINGS, CO
80923-7474

Practice Phone: 719-793-1932
Practice Fax:

Directions to “COLORADO DENTAL PROFESSIONALS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.