Colorado Dental Professionals, LLC
NPI 1770791790ActiveOrganization· Dentist, General Practice· Centennial, CO
Dentist, General Practice in Centennial, Colorado, registered in NPPES in May 2007. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1770791790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2007 |
| Last updated in NPPES | Nov 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | CO7282 | CO |
| Dentist, General Practice | 1223G0001X | CO7099 | CO |
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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