SOUTH PUEBLO DENTAL PARTNERS LLP (NPI# 1356549950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356549950 |
| Entity Type | Organization |
| Organization Name | SOUTH PUEBLO DENTAL PARTNERS LLP |
| Other Organization Name | COMFORT DENTAL SOUTH PUEBLO |
| Practice Address |
1221 S Pueblo Blvd Pueblo CO 81005-1507 |
| Practice Telephone | 7195652274 |
| Mailing Telephone | 7195652274 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RUSSELL A POOLE (DOCTOR PARTNER) |
| Authorized Official Telephone | 7195652274 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Comfort Dental South Pueblo | Doing Business As Name - Organization |
| Street Address |
1221 S PUEBLO BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| 1639512015 | Russell Bullen | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005-1507 | 2013-04-16 |
| 1447561063 | Matthew Aaron Chapman | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005-1507 | 2010-06-29 |
| 1083848857 | Smile Four Professionals LLC | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005-1507 | 2009-05-08 |
| 1841334471 | Ralph Mason Downey | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005-1507 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1114009198 | Senior Harbors, Inc. | Psychologist | 2118 Chatalet Lane, Pueblo, CO 81005 | 2006-10-19 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307849 | Elizabeth Lee Cochran | Dentist | 4130 Redwood Ln Unit 130, Pueblo, CO 81005-3292 | 2019-07-05 |
| 1154879344 | Pdsc PC | Dentist | 2041 Pepper Ln, Pueblo, CO 81005-3276 | 2016-09-15 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| 1558655928 | Sarah Elizabeth Keen | Dentist | 4104 Outlook Blvd, Pueblo, CO 81008-1670 | 2011-06-03 |
| 1861790792 | Andrew Comerci | Dentist | 1100 Eagleridge Blvd, Pueblo, CO 81008-2103 | 2011-03-01 |
| 1467756627 | Anthony G Oreskovich | Dentist | 1111 Pueblo Boulevard Way, Suite 140, Pueblo, CO 81005-1687 | 2011-01-03 |
| 1033356670 | Park West Dental PC | Dentist | 3470 Parker Blvd, Pueblo, CO 81003 | 2009-01-20 |
| 1942479761 | James Cover D.d.s., PC | Dentist | 2020 S Pueblo Blvd, Pueblo, CO 81005-2546 | 2008-02-26 |
| 1801064928 | Garbiso Dental Care Center | Dentist | 3210 Wedgewood Dr, Pueblo, CO 81005-2398 | 2008-02-11 |
| 1790963957 | Douglas L. Pearson | Dentist | 2225 Norman Ln, Pueblo, CO 81005-3357 | 2008-02-09 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.