DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROADMOOR DENTAL, LLC

Active Organization

BROADMOOR DENTAL, LLC is a General Dentistry organization located in COLORADO SPRINGS, Colorado. NPI 1295037646 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COLORADO SPRINGS, CO

Registration Details

NPI Number
1295037646
Provider Type
Organization
NPI Issued
Nov 17, 2010 (15.730669998533 yrs)
Last Updated
Nov 17, 2010
Licenses
9966 (CO)
9952 (CO)
905802 (CO)
905995 (CO)
906138 (CO)

Practice Information

Address
1930 S NEVADA AVE
COLORADO SPRINGS, CO, 809053407
Browse CO providers · Browse ZIP 80905
Phone
7195765566
Fax
7195761100
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
Dental Hygienist
Additional Specialty
Dental Hygienist
Additional Specialty
Dental Hygienist

Other General Dentistry Organizations in COLORADO SPRINGS, CO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.