Young At Heart Dentistry

LBN: Pawel R Bielecki, Dds, Pc
Young At Heart Dentistry is an health care organization with primary practice located at 2603 Vinewood Ln , Pueblo CO 81005-3370. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pawel R Bielecki, Dds, Pc can be contacted via phone (719) 564-6464, or through Herrera, Michael R via phone (719) 696-9009.

Contact Information

Primary practice address
2603 Vinewood Ln Pueblo CO 81005-3370
Phone: (719) 564-6464
Fax: (719) 564-1888
Website:
Map and Directions
Authorized official contact:
Name: Herrera, Michael R
Phone: (719) 696-9009

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8809 Colorado
Dental Providers / General Practice 1223G0001X 9492 Colorado

Profile Details

NPI number 1467627281
LBN Legal business name Pawel R Bielecki, Dds, Pc
DBA Doing business as Young At Heart Dentistry
Authorized official Herrera, Michael R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Oct 21st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467627281 NPPES
Colorado MEDICAID 83505318

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