Colorado Dental Professionals, LLC
NPI 1093456857ActiveOrganization· Dentist· Colorado Springs, CO
Dentist in Colorado Springs, Colorado, registered in NPPES in April 2022, part of Colorado Dental Professionals, LLC. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1093456857 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Professionals, LLC |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Apr 5, 2022 |
| Certified by provider | Apr 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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