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CANYON CREST FAMILY DENTAL & AESTHETICS
NPI 1255835187
Dentist in Pueblo West, CO

Active since March 23, 2018
332 S ORCHARD SPRINGS DR STE 110, PUEBLO WEST, CO 81007(719) 924-8858 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canyon Crest Family Dental & Aesthetics NPPES

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

CANYON CREST FAMILY DENTAL & AESTHETICS (NPI 1255835187) is a healthcare organization registered as a dentist in Pueblo West, Colorado and active in the NPI registry since March 2018. The organization lists Travis Lyle Boyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1255835187
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCANYON CREST FAMILY DENTAL & AESTHETICS
Location Address332 S ORCHARD SPRINGS DR STE 110Pueblo West, CO 81007-6154
Mailing Address332 S Orchard Springs Dr Ste 110Pueblo West, CO 81007-6154 · (719) 924-8858
Phone(719) 924-8858
Organization SubpartNo
Authorized OfficialTravis Lyle BoyerOwner · (719) 924-8858
Enumeration DateMarch 23, 2018
✔ NPI 1255835187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed · 00202790
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
332 S ORCHARD SPRINGS DR STE 110, Pueblo West, CO 81007
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Other Identifiers 1

Medicaid07178506CO

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 3

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

ROCK CANYON FAMILY DENTAL
Clinic/Center (Dental)
332 S ORCHARD SPRINGS DR STE 110
PUEBLO WEST, CO 81007
Pueblo County (719) 924-8858
DENTAL SPECIALISTS OF SOUTHERN COLORADO, PC
Dentist (Periodontics)
332 S ORCHARD SPRINGS DR STE 110
PUEBLO WEST, CO 81007
Pueblo County (719) 569-5959
REECE COCHRAN DDS
Dentist (Periodontics)
332 S ORCHARD SPRINGS DR STE 110
PUEBLO WEST, CO 81007
Pueblo County (719) 569-5959

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 Canyon Crest Family Dental & Aesthetics's NPI number?

The NPI number for Canyon Crest Family Dental & Aesthetics is 1255835187. It was assigned to this organization in the NPPES registry on March 23, 2018.

Where is Canyon Crest Family Dental & Aesthetics located?

Canyon Crest Family Dental & Aesthetics is located at 332 S Orchard Springs Dr Ste 110, Pueblo West, CO 81007. The listed phone number is (719) 924-8858.

What is Canyon Crest Family Dental & Aesthetics's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Canyon Crest Family Dental & Aesthetics was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.