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ORAL SURGERY SPECIALISTS OF PUEBLO PLLC NPI 1619405396


NPI Information

NPI: 1619405396
Provider Name: ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC

Doing Business As: ORAL SURGERY SPECIALISTS OF PUEBLO

Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
3691 PARKER BLVD
PUEBLO, CO
ZIP 81008
Phone: (719) 212-0777
Get Directions

ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC is an oral and maxillofacial pathology dentist in Pueblo, CO. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC NPI is 1619405396. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oral Surgery Specialists Of Pueblo.

The provider's business location address is:

3691 PARKER BLVD
PUEBLO, CO
ZIP 81008-278
Phone: (719) 212-0777

The provider's authorized official is Tyler E Nelson .
The authorized official title is Owner and has the following contact phone number (719) 597-4060.

The enumeration date for this NPI number is 5/25/2017 and was last updated on 5/25/2017.


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
11223P0106XDentistOral and Maxillofacial PathologyYes

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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