1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Clinic Center
  6. NPI Profile

PUEBLO DENTAL CENTER
NPI 1417377938
Clinic/Center - Dental in Pueblo, CO

Active since April 23, 2014
4104 OUTLOOK BLVD, SUITE 138, PUEBLO, CO 81008(719) 543-2271(719) 543-0972 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pueblo Dental Center NPPES

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

PUEBLO DENTAL CENTER (NPI 1417377938) is a healthcare organization registered as a dental in Pueblo, Colorado and active in the NPI registry since April 2014. The organization lists Loren Sites, Owner, as its authorized official.

NPPES Registry Identity

NPI1417377938
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLOREN SITES DDS PLLC
Location Address4104 OUTLOOK BLVD, SUITE 138Pueblo, CO 81008-1670
Mailing Address4104 Outlook Blvd, Suite 138Pueblo, CO 81008-1670 · (719) 543-2271 · Fax (719) 543-0972
Phone(719) 543-2271
Fax(719) 543-0972
Organization SubpartNo
Authorized OfficialLoren SitesOwner · (719) 543-2271
Enumeration DateApril 23, 2014
✔ NPI 1417377938 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 · 9979
4104 OUTLOOK BLVD, Pueblo, CO 81008
Open in Google Maps ↗

Other Names 1

Doing Business AsPueblo Dental Center

Other Identifiers 1

Medicaid85301035CO

Other Providers at the Same Location NPPES 2

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

MRS. JOSEPHINE YOLANDA PENA BACILIO
Behavior Analyst
4104 OUTLOOK BLVD
PUEBLO, CO 81008
Pueblo County (719) 283-1633
DR. SARAH ELIZABETH KEEN D.D.S.
Dentist (General Practice)
4104 OUTLOOK BLVD
PUEBLO, CO 81008
Pueblo County (719) 543-2271

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 Loren Sites Dds PLLC's NPI number?

The NPI number for Loren Sites Dds PLLC is 1417377938. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider is doing business as Pueblo Dental Center.

Where is Loren Sites Dds PLLC located?

Loren Sites Dds PLLC is located at 4104 Outlook Blvd Suite 138, Pueblo, CO 81008. The listed phone number is (719) 543-2271.

What is Loren Sites Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Loren Sites Dds PLLC was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.