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Audubon Dental PLLC

NPI 1255062170ActiveOrganization· Dentist· Colorado Springs, CO

Dentist in Colorado Springs, Colorado, registered in NPPES in June 2022. The authorized official on file is Amanda Lightfoot, Authorized Representative.

Overview

NPI1255062170
StatusActive
Entity typeOrganization
NPI issuedJun 21, 2022
Last updated in NPPESJan 28, 2026
Certified by providerJan 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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