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SOUTH PUEBLO DENTAL PARTNERS LLP NPI 1356549950


NPI Information

NPI: 1356549950
Provider Name: SOUTH PUEBLO DENTAL PARTNERS LLP

Doing Business As: COMFORT DENTAL SOUTH PUEBLO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1221 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005
Phone: (719) 565-2274
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SOUTH PUEBLO DENTAL PARTNERS LLP is a general practice dentist in Pueblo, CO. The provider is 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. SOUTH PUEBLO DENTAL PARTNERS LLP NPI is 1356549950. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Comfort Dental South Pueblo.

The provider's business location address is:

1221 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005-507
Phone: (719) 565-2274

The provider's authorized official is Russell A Poole .
The authorized official title is DOCTOR PARTNERPartner and has the following contact phone number (719) 565-2274.

The enumeration date for this NPI number is 7/5/2007 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
11223G0001XDentistGeneral PracticeYes

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

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