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PUEBLO WEST DENTAL CARE
NPI 1073039756
Clinic/Center - Dental in Pueblo West, CO

Active since August 15, 2017
120 S STARDUST DR, PUEBLO WEST, CO 81007(719) 547-4474(719) 547-4710 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Pueblo West Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO WEST DENTAL CARE (NPI 1073039756) is a healthcare organization registered as a dental in Pueblo West, Colorado and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Pueblo West and lists Taylor R Ross, Dr., as its authorized official.

NPPES Registry Identity

NPI1073039756
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePUEBLO WEST NEIGHBORHOOD DENTAL
Location Address120 S STARDUST DRPueblo West, CO 81007-1631
Mailing Address120 S Stardust DrPueblo West, CO 81007-1631 · (719) 547-4474 · Fax (719) 547-4710
Phone(719) 547-4474
Fax(719) 547-4710
Organization SubpartNo
Authorized OfficialTaylor R RossDr. · (719) 547-4474
Enumeration DateAugust 15, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073039756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CO · 202115
120 S STARDUST DR, Pueblo West, CO 81007
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Other Names 1

Doing Business AsPueblo West Dental Care

Secondary Practice Location 1

Location 1120 S Stardust DrPueblo West, CO 81007-1631 · Phone (719) 547-4474 · Fax (719) 547-4710

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEADWATERS DENTAL MANAGEMENT
Dentist (General Practice)
120 S STARDUST DR
PUEBLO WEST, CO 81007
Pueblo County (719) 547-4474
PUEBLO WEST DENTAL, PROF.LLC
Clinic/Center (Dental)
120 S STARDUST DR
PUEBLO WEST, CO 81007
Pueblo County (719) 547-4474
TAYLOR RANDOLPH ROSS
Dentist (General Practice)
120 S STARDUST DR
PUEBLO WEST, CO 81007
Pueblo County (719) 547-4474

Frequently Asked Questions

What is PUEBLO WEST NEIGHBORHOOD DENTAL's NPI number?

The NPI number assigned to this healthcare provider is 1073039756, enumerated as an "organization" on August 15, 2017.

Where is the provider located?

The provider is located at 120 S STARDUST DR PUEBLO WEST, CO 81007 and the phone number is (719) 547-4474.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.