Dental Health Services Pc

LBN: Dental Health Services Pc
Dental Health Services Pc is an health care organization with primary practice located at 2099 W Us Highway 50 Suite #120, Pueblo CO 81008. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Health Services Pc can be contacted via phone (718) 542-3595, or through Graves, Gary B via phone (719) 542-3595.

Contact Information

Primary practice address
2099 W Us Highway 50 Suite #120 Pueblo CO 81008
Phone: (718) 542-3595
Fax: (719) 543-5665
Website:
Map and Directions
Authorized official contact:
Name: Graves, Gary B Doctor of Dental Surgery (DDS)
Phone: (719) 542-3595

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6697 Colorado

Profile Details

NPI number 1205847480
LBN Legal business name Dental Health Services Pc
DBA Doing business as
Authorized official Graves, Gary B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205847480 NPPES
Colorado MEDICAID 02066975

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