| Pueblo Dental Center | |
|
4104 Outlook Blvd Suite 138 Pueblo CO 81008-1670 | |
| (719) 543-2271 | |
| (719) 543-0972 |
| Full Name | Pueblo Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4104 Outlook Blvd, Pueblo, Colorado |
| Authorized Official Name and Position | Loren Sites (OWNER) |
| Authorized Official Contact | 7195432271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Dental Center 4104 Outlook Blvd Suite 138 Pueblo CO 81008-1670 Ph: (719) 543-2271 | Pueblo Dental Center 4104 Outlook Blvd Suite 138 Pueblo CO 81008-1670 Ph: (719) 543-2271 |
| NPI Number | 1417377938 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417377938 | NPI | - | NPPES |
| 85301035 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9979 (Colorado) | 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 |