Organization · Type 2 NPI

Southern Colorado Dental Anesthesiology

Dental Clinic/Center · Pueblo, CO

NPI number 1801406434 Active

Practice location

1225 N Main St Ste 207
Pueblo, CO 81003-2857

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

James Kellan Villalon, DDS, MPHDental Anesthesiology Pueblo, CO NPI 1851777304

Other dental clinic/center providers in Pueblo

See all in Pueblo →

NPI record

NPI: 1801406434
Entity type: Organization (Type 2)
Issued: Aug 7, 2020
Last updated: Sep 11, 2020
Status: Active

Other names

<unavail>
Villalon Anesthesiology · doing business as
Soco Dental Anesthesia · other name
Southern Colorado Dental Anesthesia · other name
Southern Colorado Dental Anesthesia · other name

Authorized official

Dr. James Kellan Villalon, DDS, MPH
Dentist Anesthesiologist/owner
(719) 286-0733

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 1801406434

Southern Colorado Dental Anesthesiology's National Provider Identifier is 1801406434, issued on Aug 7, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pueblo, CO. The record was last updated on Sep 11, 2020.