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ORAL SURGERY SPECIALISTS OF PUEBLO
NPI 1619405396
Dentist - Oral and Maxillofacial Pathology in Pueblo, CO

Active since May 25, 2017
3691 PARKER BLVD, PUEBLO, CO 81008(719) 212-0777 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral Surgery Specialists Of Pueblo NPPES

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

ORAL SURGERY SPECIALISTS OF PUEBLO (NPI 1619405396) is a healthcare organization registered as an oral and maxillofacial pathology in Pueblo, Colorado and active in the NPI registry since May 2017. The organization lists Tyler E Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1619405396
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
Location Address3691 PARKER BLVDPueblo, CO 81008-2278
Mailing Address3100 N Academy Blvd Ste 213Colorado Springs, CO 80917-5332 · (719) 597-4060 · Fax (719) 574-2140
Phone(719) 212-0777
Organization SubpartNo
Authorized OfficialTyler E NelsonOwner · (719) 597-4060
Enumeration DateMay 25, 2017
✔ NPI 1619405396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
3691 PARKER BLVD, Pueblo, CO 81008
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Other Names 1

Doing Business AsOral Surgery Specialists Of 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 3

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

TANYA HAMILTON
Counselor (Mental Health)
3691 PARKER BLVD, SUITE 200
PUEBLO, CO 81008
Pueblo County (719) 545-2746
MRS. JULEE MARGARET HODGES AU.D., CCC-A
Audiologist
3691 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 545-4902
COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
Dentist (Oral and Maxillofacial Surgery)
3691 PARKER BLVD
PUEBLO, CO 81008
Pueblo County (719) 212-0777

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 Oral Surgery Specialists Of Pueblo, PLLC's NPI number?

The NPI number for Oral Surgery Specialists Of Pueblo, PLLC is 1619405396. It was assigned to this organization in the NPPES registry on May 25, 2017. The provider is doing business as Oral Surgery Specialists Of Pueblo.

Where is Oral Surgery Specialists Of Pueblo, PLLC located?

Oral Surgery Specialists Of Pueblo, PLLC is located at 3691 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 212-0777.

What is Oral Surgery Specialists Of Pueblo, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Oral Surgery Specialists Of Pueblo, PLLC was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.