Active NPI 1548893928 Individual Practitioner Male Practitioner

Dr. Andrew Wilson Dethloff , DDS MA

Dentist - General Practice • Monument, CO

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Dethloff, DDS MA is a registered healthcare professional specializing in Dentist - General Practice in Monument, CO. Practice services are available at 1777 LAKE WOODMOOR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1777 Lake Woodmoor Dr

Monument, CO 801329074

Telephone 7194883014

Fax 7194883015

Associated Practice Facility / Clinic

🏢 Palmer Ridge Dental And Orthodontics Facility NPI 1225402704

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Monument, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.5 Yrs

Regional Practice Density

16 Specialists

Practicing in Monument, CO (2613 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-26

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 00204282

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Roberta Benz

Dental Hygienist

NPI 1053880377

Laura Hoffman , RDH

Dental Hygienist

NPI 1700244167

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 13, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2020

Registered at 1777 LAKE WOODMOOR DR, MONUMENT, CO 801329074 (Tel: 7194883014)

📍

Updated Business Mailing Address February 13, 2020

Registered at 1777 LAKE WOODMOOR DR, MONUMENT, CO 801329074 (Tel: 7194883014)

👤

Provider Name / Credentials Updated February 13, 2020

Recorded as ANDREW DETHLOFF, DDS. MA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2020

Dentist (License #00204282 in CO)

🟢

Initial NPI Registration & Enumeration February 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548893928

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2020

Last Update: January 26, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1777 Lake Woodmoor Dr

Monument, CO 801329074

Phone: 7194883014

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.