Implant & Periodontic Specialists Of Pueblo

LBN: Eden Dental Pueblo Pc
Implant & Periodontic Specialists Of Pueblo is an health care organization with primary practice located at 2041 Pepper Ln , Pueblo CO 81005-3276. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. Eden Dental Pueblo Pc can be contacted via phone (719) 696-9009, or through Herrera, Michael Robert via phone (760) 978-8527.

Contact Information

Primary practice address
2041 Pepper Ln Pueblo CO 81005-3276
Phone: (719) 696-9009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herrera, Michael Robert
Phone: (760) 978-8527

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1154970366
LBN Legal business name Eden Dental Pueblo Pc
DBA Doing business as Implant & Periodontic Specialists Of Pueblo
Authorized official Herrera, Michael Robert
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2019
Last updated Nov 12th, 2020 - about 4 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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