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Colorado Dental Professionals, LLC

Dentist in Thornton, CO · enumerated 2006 · authorized official Cassandra Petersen, Credentialing Team Lead.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083706543

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Registry record

Entity type Organization (Type 2)
Legal business name Colorado Dental Professionals, LLC
Other name <Unavail>
Parent organization Colorado Dental Professionals, LLC
Practice address 10001 Washington St, Thornton, CO, 80229
Phone (303) 452-2053
Fax (303) 280-9388
Enumeration date Sep 29, 2006
Last updated in NPPES Sep 7, 2023

Taxonomy & classification

122300000X Dentist Dental Providers · License 6850 (CO) Primary
122300000X Dentist Dental Providers · License 0218 (CO) Secondary
122300000X Dentist Dental Providers · License 104242 (CO) Secondary
122300000X Dentist Dental Providers · License 105657 (CO) Secondary

Authorized official

Name Cassandra Petersen
Title Credentialing Team Lead
Phone (217) 540-8972

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Colorado Dental Professionals, LLC?
NPPES lists Cassandra Petersen (Credentialing Team Lead) as the authorized official for this organization.
What is the NPI number for Colorado Dental Professionals, LLC?
The NPI for Colorado Dental Professionals, LLC is 1083706543, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-07.