Broadmoor Lake Dental is a Dental Clinic in Colorado Springs, Colorado. It is located at 155 Lake Ave Ste 201, Colorado Springs, CO and its contact number is 719-375-5201. The authorized person for Broadmoor Lake Dental is Dr. Marc Van Ness
who is Owner of the clinic and their contact number is 719-375-5201. The primary license number for Broadmoor Lake Dental is 104909 (Dentist) in Colorado.
Broadmoor Lake Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Broadmoor Lake Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Broadmoor Lake Dental |
| Specialization: | Dentistry |
| Clinic Address: | 155 Lake Ave Ste 201, Colorado Springs,
Colorado, 80906-3717 |
| Phone: | 719-375-5201 |
| Fax: | 844-656-9696 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Marc Van Ness |
| Position: | Owner |
| Contact Number: | 719-375-5201 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Broadmoor Lake Dental clinic are as mentioned below.
| NPI Number: | 1801286919 |
| NPI Enumeration Date: | 27 Jan, 2015 |
| NPI Last Update On: | 21 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Broadmoor Lake Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 104909 | Colorado | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Broadmoor Lake Dental
155 Lake Ave Ste 201,
Colorado Springs, Colorado |
| Zip: | 80906-3717 |
| Phone Number: | 719-375-5201 |
| Fax Number: | 844-656-9696 |
Patients can reach Broadmoor Lake Dental at
155 Lake Ave Ste 201, Colorado Springs, Colorado or can
call to book an appointment on 719-375-5201.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.