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PUEBLO DEL SOL DENTAL CARE LLC
NPI 1831613934
Dentist - General Practice in Sierra Vista, AZ

Active since July 31, 2017
1900 PASEO SAN LUIS, SIERRA VISTA, AZ 85635(520) 458-2415(520) 458-0414 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017, Jul 31, 2017 (3 updates tracked since 2017).

About Pueblo Del Sol Dental Care Llc NPPES

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

PUEBLO DEL SOL DENTAL CARE LLC (NPI 1831613934) is a healthcare organization registered as a general practice in Sierra Vista, Arizona and active in the NPI registry since July 2017. The organization lists Justin M Israelsen, Owner/manager/dentist, as its authorized official.

NPPES Registry Identity

NPI1831613934
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePUEBLO DEL SOL DENTAL CARE LLC
Location Address1900 PASEO SAN LUISSierra Vista, AZ 85635-4614
Mailing Address1900 Paseo San LuisSierra Vista, AZ 85635-4614 · (520) 458-2415 · Fax (520) 458-0414
Phone(520) 458-2415
Fax(520) 458-0414
Organization SubpartNo
Authorized OfficialJustin M IsraelsenOwner/manager/dentist · (520) 458-2415
Enumeration DateJuly 31, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1831613934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D008200
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.
1900 PASEO SAN LUIS, Sierra Vista, AZ 85635
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. RUSSELL K. HANES D.D.S.
Dentist (General Practice)
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635
Cochise County (520) 458-2415
DR. JACK LEE SCHRADER DDS
Dentist (General Practice)
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635
Cochise County (520) 458-2415
DR. JUSTIN ISRAELSEN DMD
Dentist (General Practice)
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635
Cochise County (520) 458-2415
RUSSELL K. HANES DDS, PC
Clinic/Center (Dental)
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635
Cochise County (520) 458-2415
BYRON TRUJILLO DDS
Dentist (General Practice)
1900 PASEO SAN LUIS
SIERRA VISTA, AZ 85635
Cochise County (520) 458-2415

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 Pueblo Del Sol Dental Care LLC's NPI number?

The NPI number for Pueblo Del Sol Dental Care LLC is 1831613934. It was assigned to this organization in the NPPES registry on July 31, 2017.

Where is Pueblo Del Sol Dental Care LLC located?

Pueblo Del Sol Dental Care LLC is located at 1900 Paseo San Luis, Sierra Vista, AZ 85635. The listed phone number is (520) 458-2415.

What is Pueblo Del Sol Dental Care LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pueblo Del Sol Dental Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Pueblo Del Sol Dental Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pueblo Del Sol Dental Care LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.