Organization · Type 2 NPI

Colorado Dental Professionals, LLC

General Practice Dentistry · Pueblo West, CO

NPI number 1700449436 Active

Practice location

904 Hailey Ln Ste A
Pueblo West, CO 81007-4456

Fax (888) 847-1729

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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Headwaters Dental ManagementGeneral Practice Dentistry Pueblo West, CO NPI 1255795464

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NPI record

NPI: 1700449436
Entity type: Organization (Type 2)
Issued: Apr 18, 2019
Last updated: Jul 18, 2019
Status: Active
Subpart: Yes of Colorado Dental Professionals, LLC

Other names

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Sangre de Cristo Dental Care · doing business as
Sangre de Cristo Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-5100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700449436

Colorado Dental Professionals, LLC's National Provider Identifier is 1700449436, issued on Apr 18, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pueblo West, CO. The record was last updated on Jul 18, 2019.