ADVANTAGE DENTAL GROUP
NPI 1730545757
Dentist - General Practice in Pueblo, CO

Active since January 06, 2016
1800 FORTINO BLVD, SUITE #1, PUEBLO, CO 81008(719) 545-1400 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advantage Dental Group NPPES

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

ADVANTAGE DENTAL GROUP (NPI 1730545757) is a healthcare organization registered as a general practice in Pueblo, Colorado and active in the NPI registry since January 2016. The organization lists Kendall B Skinner, Owner, as its authorized official.

NPPES Registry Identity

NPI1730545757
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEXCELLENCE IN DENTISTRY OF PUEBLO ONE PLLC
Location Address1800 FORTINO BLVD, SUITE #1Pueblo, CO 81008-1890
Mailing Address9920 Wadsworth PkwyBroomfield, CO 80021-6847 · (303) 425-1000 · Fax (303) 425-1026
Organization SubpartNo
Authorized OfficialKendall B SkinnerOwner · (303) 425-1000
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJanuary 7, 2016
NPI 1730545757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CO · 10691
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.

1800 FORTINO BLVD, Pueblo, CO 81008

Other Names 1

Doing Business AsAdvantage Dental Group

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.

Dentist
1800 FORTINO BLVD
PUEBLO, CO 81008
Nurse Anesthetist, Certified Registered
1800 FORTINO BLVD, SUITE 2
PUEBLO, CO 81008
Dentist (General Practice)
1800 FORTINO BLVD
PUEBLO, CO 81008
Nurse Anesthetist, Certified Registered
1800 FORTINO BLVD, SUITE 2
PUEBLO, CO 81008

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 Excellence In Dentistry Of Pueblo One PLLC's NPI number?

The NPI number for Excellence In Dentistry Of Pueblo One PLLC is 1730545757. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Advantage Dental Group.

Where is Excellence In Dentistry Of Pueblo One PLLC located?

Excellence In Dentistry Of Pueblo One PLLC is located at 1800 Fortino Blvd Suite #1, Pueblo, CO 81008. The listed phone number is (719) 545-1400.

What is Excellence In Dentistry Of Pueblo One PLLC'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 Excellence In Dentistry Of Pueblo One PLLC was last updated on January 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.