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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

My Local Colorado Dental Practice, LLC

General Practice Dentistry in Arvada, CO · enumerated 2019 · authorized official Gregory Kostelac, Credentialing Specialist.

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

National Provider Identifier

1417501180

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Registry record

Entity type Organization (Type 2)
Legal business name My Local Colorado Dental Practice, LLC
Other name <Unavail>
Parent organization My Local Colorado Dental Practice, LLC
Practice address 8721 Wadsworth Blvd, Arvada, CO, 80003
Phone (720) 605-4302
Enumeration date Jul 30, 2019
Last updated in NPPES Jul 23, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Gregory Kostelac
Title Credentialing Specialist
Phone (719) 372-5605

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

What is the NPI number for My Local Colorado Dental Practice, LLC?
The NPI for My Local Colorado Dental Practice, LLC is 1417501180, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for My Local Colorado Dental Practice, LLC?
NPPES lists Gregory Kostelac (Credentialing Specialist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-23.