| My Local Colorado Dental Practice, Llc | |
|
1800 Fortino Blvd Pueblo CO 81008-1890 | |
| (719) 545-1400 | |
| Not Available |
| Full Name | My Local Colorado Dental Practice, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 Fortino Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5093158338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Local Colorado Dental Practice, Llc 1800 Fortino Blvd Pueblo CO 81008-1890 Ph: (719) 545-1400 | My Local Colorado Dental Practice, Llc 1800 Fortino Blvd Pueblo CO 81008-1890 Ph: (719) 545-1400 |
| NPI Number | 1821642596 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821642596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Cover Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-566-0206 | |
Elmer A. Villalon, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 North Main Street, #207, Pueblo, CO 81003 Phone: 719-542-7844 Fax: 719-542-7870 | |
Ronald Concialdi Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2037 Jerry Murphy Rd, Pueblo, CO 81001 Phone: 719-545-3070 Fax: 719-545-3071 | |
Park West Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3470 Parker Blvd, Pueblo, CO 81003 Phone: 719-543-4022 | |
Smile Doctors Of Colorado, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Club Manor Dr Ste 203, Pueblo, CO 81008 Phone: 719-417-5625 | |
Brian Scott Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 Horseshoe Dr, Pueblo, CO 81001 Phone: 719-545-2722 Fax: 719-545-7427 | |
Anthony Knowlton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Union Ave, Pueblo, CO 81003 Phone: 719-564-5833 |