Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Palmer Park Dentistry, PLLC

Organization General Practice Dentistry · NPI 1487467684

Palmer Park Dentistry, PLLC provides General Practice Dentistry in Colorado Springs, Colorado. Registered with an NPI since 2025.

In the registry since
2025
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

3208 N Academy Blvd Ste 140
Colorado Springs, CO 80917-5111
Phone: (719) 301-5300
Fax: (719) 301-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1487467684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Sundiam — Credentialing Manager · (719) 301-5300
Other names Palmer Park Dentistry
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 13, 2025
Mailing address3208 N Academy Blvd Ste 140, Colorado Springs, CO 80917-5111

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