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PUEBLO DENTAL SERVICES LLC
NPI 1992577860
Dentist - General Practice in Pueblo, CO

Active since October 24, 2023
200 W 29TH ST # B, PUEBLO, CO 81008(719) 542-9374(719) 542-9433 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pueblo Dental Services Llc NPPES

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

PUEBLO DENTAL SERVICES LLC (NPI 1992577860) is a healthcare organization registered as a general practice in Pueblo, Colorado and active in the NPI registry since October 2023. The organization lists Mehron Kazemi, Owner, as its authorized official.

NPPES Registry Identity

NPI1992577860
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePUEBLO DENTAL SERVICES LLC
Location Address200 W 29TH ST # BPueblo, CO 81008-1004
Mailing Address1831 Bogus PlColorado Springs, CO 80921-3872 · (303) 669-8908
Phone(719) 542-9374
Fax(719) 542-9433
Organization SubpartNo
Authorized OfficialMehron KazemiOwner · (303) 669-8908
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1992577860 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.

200 W 29TH ST # B, Pueblo, CO 81008
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Dental Services LLC's NPI number?

The NPI number for Pueblo Dental Services LLC is 1992577860. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Pueblo Dental Services LLC located?

Pueblo Dental Services LLC is located at 200 W 29th St # B, Pueblo, CO 81008. The listed phone number is (719) 542-9374.

What is Pueblo Dental Services LLC's specialty?

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

What insurance does Pueblo Dental Services LLC accept?

Health plans from UnitedHealthcare list Pueblo Dental Services 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 Dental Services LLC was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.