Co Specialty Dental Services, PLLC
NPI 1639935885ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Fort Collins, CO
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Collins, Colorado, registered in NPPES in February 2024, part of Co Specialty Dental Services, PLLC. The authorized official on file is Charlotte Dasch, Director Of Cred & Prov Rel.
Overview
| NPI | 1639935885 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Co Specialty Dental Services, PLLC |
| NPI issued | Feb 26, 2024 |
| Last updated in NPPES | Dec 2, 2024 |
| Certified by provider | Dec 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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