PUEBLO ENDODONTIC ASSO LLC NPI 1609096999

NPI Information

  • NPI: 1609096999
  • Provider Name: PUEBLO ENDODONTIC ASSO LLC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 41 MONTEBELLO
    SUITE 206
    PUEBLO, CO
    ZIP 81001
  • Phone: (719) 544-8900

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NPI Details

PUEBLO ENDODONTIC ASSO LLC is an endodontics dentist in Pueblo, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PUEBLO ENDODONTIC ASSO LLC NPI is 1609096999. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41 MONTEBELLO
SUITE 206
PUEBLO, CO
ZIP 81001
Phone: (719) 544-8900
Fax: (719) 545-0700

The provider's authorized official is Reginald R Westphal .
The authorized official title is President and has the following contact phone number (719) 544-8900.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 8/22/2020.

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
11223E0200XDentistEndodontics100988COLORADOYes

What is NPI?

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This page was last updated on: 11/21/2025

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