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PAGOSA KIDS FAMILYDENTAL
NPI 1689997462
Dentist - General Practice in Pagosa Springs, CO

Active since March 08, 2010
46 EATON DR STE 1, PAGOSA SPRINGS, CO 81147(970) 264-0554 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pagosa Kids Familydental NPPES

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

PAGOSA KIDS FAMILYDENTAL (NPI 1689997462) is a healthcare organization registered as a general practice in Pagosa Springs, Colorado and active in the NPI registry since March 2010. The organization lists Tyler Anthony Mann, Dentist, as its authorized official.

NPPES Registry Identity

NPI1689997462
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAGOSA KIDS FAMILYDENTAL
Location Address46 EATON DR STE 1Pagosa Springs, CO 81147-8228
Mailing Address46 Eaton Dr Ste 1Pagosa Springs, CO 81147-8228 · (970) 264-0554
Phone(970) 264-0554
Organization SubpartNo
Authorized OfficialTyler Anthony MannDentist · (970) 264-0554
Enumeration DateMarch 8, 2010
✔ NPI 1689997462 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.
46 EATON DR STE 1, Pagosa Springs, CO 81147
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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 4

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

MOORE CHIROPRACTIC WELLNESS CENTRE LLC
Chiropractor
46 EATON DR STE 1
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 731-5566
CALVIN EDGAR NEWSOME JR. FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
46 EATON DR STE 1
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 880-0951
MOUNTAIN HEALTH AND PSYCHIATRIC SERVICES, LLC
Nurse Practitioner (Psychiatric/Mental Health)
46 EATON DR STE 1
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 880-0951
BRITTIANY MICHELLE NEWSOME NP-C
Nurse Practitioner (Psychiatric/Mental Health)
46 EATON DR STE 1
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 880-0951

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 Pagosa Kids Familydental's NPI number?

The NPI number for Pagosa Kids Familydental is 1689997462. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Pagosa Kids Familydental located?

Pagosa Kids Familydental is located at 46 Eaton Dr Ste 1, Pagosa Springs, CO 81147. The listed phone number is (970) 264-0554.

What is Pagosa Kids Familydental'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 Pagosa Kids Familydental was last updated on March 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.