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PRESTIGE DENTAL PUEBLO, PLLC
NPI 1083424758
Dentist - General Practice in Pueblo, CO

Active since January 13, 2025
1700 N SALEM AVE STE B, PUEBLO, CO 81001(719) 582-4222 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prestige Dental Pueblo, Pllc NPPES

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

PRESTIGE DENTAL PUEBLO, PLLC (NPI 1083424758), doing business as Prestige Dental Center South (pueblo), is a healthcare organization registered as a general practice in Pueblo, Colorado and active in the NPI registry since January 2025. The organization lists Nick Sundiam, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1083424758
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRESTIGE DENTAL PUEBLO, PLLC
Location Address1700 N SALEM AVE STE BPueblo, CO 81001-2861
Mailing Address1700 N Salem Ave Ste BPueblo, CO 81001-2861 · (719) 582-4222
Phone(719) 582-4222
Organization SubpartNo
Authorized OfficialNick SundiamCredentialing Manager · (719) 300-5933
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1083424758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1700 N SALEM AVE STE B, Pueblo, CO 81001
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Other Names 1

Doing Business AsPrestige Dental Center South (pueblo)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BERNICE MARTINEZ RDH
Dental Hygienist
1700 N SALEM AVE STE B
PUEBLO, CO 81001
Pueblo County (719) 582-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Dental Pueblo, PLLC's NPI number?

The NPI number for Prestige Dental Pueblo, PLLC is 1083424758. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Prestige Dental Center South (Pueblo).

Where is Prestige Dental Pueblo, PLLC located?

Prestige Dental Pueblo, PLLC is located at 1700 N Salem Ave Ste B, Pueblo, CO 81001. The listed phone number is (719) 582-4222.

What is Prestige Dental Pueblo, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Prestige Dental Pueblo, PLLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.