Broadmoor Dental, Llc

LBN: Broadmoor Dental, Llc
Broadmoor Dental, Llc is an health care organization with primary practice located at 1930 S Nevada Ave , Colorado Springs CO 80905-3407. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty. Broadmoor Dental, Llc can be contacted via phone (719) 576-5566, or through Pruett, Nicolas Roger via phone (719) 576-5566.

Contact Information

Primary practice address
1930 S Nevada Ave Colorado Springs CO 80905-3407
Phone: (719) 576-5566
Fax: (719) 576-1100
Website:
Map and Directions
Authorized official contact:
Name: Pruett, Nicolas Roger Doctor of Dental Surgery (DDS)
Phone: (719) 576-5566

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8913 Colorado
Dental Providers / General Practice 1223G0001X 9966 Colorado
Dental Providers / General Practice 1223G0001X 9952 Colorado
Dental Providers / Dental Hygienist 124Q00000X 905802 Colorado
Dental Providers / Dental Hygienist 124Q00000X 905995 Colorado
Dental Providers / Dental Hygienist 124Q00000X 906138 Colorado

Profile Details

NPI number 1295037646
LBN Legal business name Broadmoor Dental, Llc
DBA Doing business as
Authorized official Pruett, Nicolas Roger Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2010
Last updated Nov 17th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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