Organization · Type 2 NPI

Southern Colorado Orthodontics, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Pueblo, CO

NPI number 1356759054 Active

Practice location

3955 Sandalwood Ln
Pueblo, CO 81005-2586

Call (719) 564-3333 Map

Mailing address

5200 La Randa Dr
Pueblo, CO 81005-3532

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDEN.00202177 (CO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1356759054

Southern Colorado Orthodontics, PLLC's National Provider Identifier is 1356759054, issued on Jul 25, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pueblo, CO. The record was last updated on Jul 25, 2014.