PROFESSIONAL DENTAL HYGIENE
NPI 1275857203
Clinic/Center - Dental in Leadville, CO

Active since March 19, 2010
130 W 5TH ST, SUITE 118 AND 121, LEADVILLE, CO 80461(719) 486-8285 Get Directions Write a Review

NPPES record last updated: March 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Professional Dental Hygiene NPPES

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

PROFESSIONAL DENTAL HYGIENE (NPI 1275857203) is a healthcare organization registered as a dental in Leadville, Colorado and active in the NPI registry since March 2010. The organization lists Melissa Jean Villarreal, Manager, as its authorized official.

NPPES Registry Identity

NPI1275857203
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL HYGIENE
Location Address130 W 5TH ST, SUITE 118 AND 121Leadville, CO 80461-3510
Mailing AddressPo Box 572Leadville, CO 80461-0572 · (719) 486-8285
Organization SubpartNo
Authorized OfficialMelissa Jean VillarrealManager · (719) 486-8285
Enumeration DateMarch 19, 2010
NPI 1275857203 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 · DH-905202
130 W 5TH ST, Leadville, CO 80461

Other Providers at the Same Location NPPES

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

Dental Hygienist
130 W 5TH ST, SUITE #119 AND 121
LEADVILLE, CO 80461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275857203, enumerated as an "organization" on March 19, 2010.

The provider is located at 130 W 5TH ST SUITE 118 AND 121 LEADVILLE, CO 80461 and the phone number is (719) 486-8285.

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