PUEBLO WEST NEIGHBORHOOD DENTAL NPI 1073039756

NPI Information

NPI: 1073039756
Provider Name: PUEBLO WEST NEIGHBORHOOD DENTAL

Doing Business As: PUEBLO WEST DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
120 S STARDUST DR
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 547-4474
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PUEBLO WEST NEIGHBORHOOD DENTAL is a dental clinic center in Pueblo West, CO. PUEBLO WEST NEIGHBORHOOD DENTAL NPI is 1073039756. The provider is registered as an organization entity type.
The provider Is Doing Business As Pueblo West Dental Care.

The provider's business location address is:

120 S STARDUST DR
PUEBLO WEST, CO
ZIP 81007-631
Phone: (719) 547-4474
Fax: (719) 547-4710

The provider's authorized official is Taylor R Ross .
The authorized official title is Dr. and has the following contact phone number (719) 547-4474.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	202115	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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