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YOUNG AT HEART DENTISTRY
NPI 1962615492
Dentist - Pediatric Dentistry in Pueblo, CO

Active since May 08, 2007
2603 VINEWOOD LN, PUEBLO, CO 81005(719) 564-6464(719) 564-1818 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Young At Heart Dentistry NPPES

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

YOUNG AT HEART DENTISTRY (NPI 1962615492) is a healthcare organization registered as a pediatric dentistry in Pueblo, Colorado and active in the NPI registry since May 2007. The organization lists Michael J Purcell, Owner, as its authorized official.

NPPES Registry Identity

NPI1962615492
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameYOUNG AT HEART DENTISTRY
Location Address2603 VINEWOOD LNPueblo, CO 81005-3370
Mailing Address2603 Vinewood LnPueblo, CO 81005-3370 · (719) 564-6464 · Fax (719) 564-1818
Phone(719) 564-6464
Fax(719) 564-1818
Organization SubpartNo
Authorized OfficialMichael J PurcellOwner · (719) 543-7123
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 18, 2008
✔ NPI 1962615492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CO · 7055
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2603 VINEWOOD LN, Pueblo, CO 81005
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Other Identifiers 1

Medicaid91284546CO

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 6

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

DR. PAWEL ROBERT BIELECKI DDS
Dentist (General Practice)
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
ANDREW YI-LONG YU DDS
Dentist (General Practice)
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
DR. MOHAMMAD REZA MESMARIAN DDS
Dentist (General Practice)
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
PAWEL R BIELECKI, DDS, PC
Dentist (General Practice)
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
DR. DIANA TRANG SHAW DDS
Dentist
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464
MELANIE RODRIGUEZ
Dentist (General Practice)
2603 VINEWOOD LN
PUEBLO, CO 81005
Pueblo County (719) 564-6464

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 Young At Heart Dentistry's NPI number?

The NPI number for Young At Heart Dentistry is 1962615492. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Young At Heart Dentistry located?

Young At Heart Dentistry is located at 2603 Vinewood Ln, Pueblo, CO 81005. The listed phone number is (719) 564-6464.

What is Young At Heart Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Young At Heart Dentistry was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.