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Colorado Dental Professionals, LLC

General Practice Dentistry in Centennial, CO · enumerated 2007 · authorized official Cassandra Petersen, Credentialing Team Lead.

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

National Provider Identifier

1770791790

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Registry record

Entity type Organization (Type 2)
Legal business name Colorado Dental Professionals, LLC
Other name <Unavail>
Practice address 18525 E Smoky Hill Rd, Suite D, Centennial, CO, 80015
Fax (303) 617-9838
Enumeration date May 21, 2007
Last updated in NPPES Nov 14, 2018

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License CO7099 (CO) Secondary
1223G0001X General Practice Dentistry Dental Providers · License CO7282 (CO) Primary

Authorized official

Name Cassandra Petersen
Title Credentialing Team Lead

Other identifiers

Identifier Type State Issuer
1700878626 Other CO DANIEL B NORRIE
1861494494 Other CO ROB C MULLINS

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Colorado Dental Professionals, LLC?
Colorado Dental Professionals, LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-14.