Individual provider · Type 1 NPI
James Kellan Villalon, DDS, MPH
Dental Anesthesiology · Pueblo, CO
Practice location
1225 N Main St Ste 207
Pueblo, CO 81003-2857
Other practice locations
- 5352 Warwick St, Pueblo, CO 81005-5540 · (719) 564-9410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 11742 (CT) |
| Dentist | 122300000X | 203024 (CO) |
| Dental Anesthesiology Primary | 1223D0004X | GEN.02786194 (CO) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Another provider at this address
About NPI 1851777304
James Kellan Villalon, DDS, MPH's National Provider Identifier is 1851777304, issued on Aug 7, 2015. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Pueblo, CO. The record was last updated on Dec 10, 2020.