Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Otter Kids Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1588486575

Otter Kids Pediatric Dentistry PLLC provides Pediatric Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1155 Kelly Johnson Blvd Ste 210
Colorado Springs, CO 80920
Phone: (719) 867-0550
Fax: (719) 867-3191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1588486575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Otterstedt — Owner · (719) 867-5500
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 25, 2024
Mailing address1294 Oakmont Dr, Colorado Springs, CO 80921-3762

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