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

BROADMOOR LAKE DENTAL

Active Organization

BROADMOOR LAKE DENTAL is a Dentist organization located in COLORADO SPRINGS, Colorado. NPI 1801286919 is currently active in the NPPES registry. Verify at CMS.

Dentist · COLORADO SPRINGS, CO

Registration Details

NPI Number
1801286919
Provider Type
Organization
NPI Issued
Jan 27, 2015 (11.581910395199 yrs)
Last Updated
Jul 21, 2021
License
104909 (CO)

Practice Information

Address
155 LAKE AVE STE 201
COLORADO SPRINGS, CO, 809063717
Browse CO providers · Browse ZIP 80906
Phone
7193755201
Fax
8446569696
Primary Specialty
Dentist
122300000X

Other Dentist 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.