PUEBLO WEST DENTAL, PROF.LLC
NPI 1891456711
Clinic/Center - Dental in Pueblo West, CO

Active since January 03, 2022
120 S STARDUST DR, PUEBLO WEST, CO 81007(719) 547-4474 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pueblo West Dental, Prof.llc NPPES

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

PUEBLO WEST DENTAL, PROF.LLC (NPI 1891456711), doing business as Pueblo West Neighborhood Dental And Implants, is a healthcare organization registered as a dental in Pueblo West, Colorado and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Pueblo West and lists Taylor Ross, Member, as its authorized official.

NPPES Registry Identity

NPI1891456711
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePUEBLO WEST DENTAL, PROF.LLC
Location Address120 S STARDUST DRPueblo West, CO 81007-1631
Mailing Address120 S Stardust DrPueblo West, CO 81007-1631
Organization SubpartNo
Authorized OfficialTaylor RossMember · (303) 263-3902
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1891456711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
120 S STARDUST DR, Pueblo West, CO 81007

Other Names 1

Doing Business AsPueblo West Neighborhood Dental And Implants

Secondary Practice Location 1

Location 1120 S Crescent Dr Ste BPueblo West, CO 81007-2787 · Phone (719) 647-9433

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.

Clinic/Center (Dental)
120 S STARDUST DR
PUEBLO WEST, CO 81007
Dentist (General Practice)
120 S STARDUST DR
PUEBLO WEST, CO 81007
Dentist (General Practice)
120 S STARDUST DR
PUEBLO WEST, CO 81007

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 West Dental, Prof.Llc's NPI number?

The NPI number for Pueblo West Dental, Prof.Llc is 1891456711. It was assigned to this organization in the NPPES registry on January 3, 2022. The provider is doing business as Pueblo West Neighborhood Dental and Implants.

Where is Pueblo West Dental, Prof.Llc located?

Pueblo West Dental, Prof.Llc is located at 120 S Stardust Dr, Pueblo West, CO 81007. The listed phone number is (719) 547-4474.

What is Pueblo West Dental, Prof.Llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pueblo West Dental, Prof.Llc was last updated on January 3, 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.