MY LOCAL COLORADO DENTAL PRACTICE, LLC
NPI 1821642596
Dentist - General Practice in Pueblo, CO

Active since July 30, 2019
1800 FORTINO BLVD, PUEBLO, CO 81008(719) 545-1400 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About My Local Colorado Dental Practice, Llc NPPES

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI 1821642596), doing business as Advantage Dental Group, is a healthcare organization registered as a general practice in Pueblo, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1821642596
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC
Location Address1800 FORTINO BLVDPueblo, CO 81008-1890
Mailing Address1800 Fortino BlvdPueblo, CO 81008-1890 · (719) 545-1400
Organization SubpartYes
Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338
Enumeration DateJuly 30, 2019
NPI 1821642596 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.

1800 FORTINO BLVD, Pueblo, CO 81008

Other Names 1

Doing Business AsAdvantage Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, SUITE #1
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 My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1821642596. It was assigned to this organization in the NPPES registry on July 30, 2019. The provider is doing business as Advantage Dental Group.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 1800 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (719) 545-1400.

What is My Local Colorado Dental Practice, LLC'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 My Local Colorado Dental Practice, LLC was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.