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
Health care specialties
Specialty | Code | License # | 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 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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