Villalon, James Kellan

Villalon, James Kellan is an individual health care provider with primary practice located at 1225 N Main St Ste 207 , Pueblo CO 81003-2857. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Villalon, James Kellan can be contacted via phone (719) 286-0733.

Contact Information

Primary practice address
1225 N Main St Ste 207 Pueblo CO 81003-2857
Phone: (719) 286-0733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11742 Connecticut
Dental Providers / Dentist 122300000X 203024 Colorado
Dental Providers / Dentist Anesthesiologist 1223D0004X GEN.02786194 Colorado

Profile Details

NPI number 1851777304
LBN Legal business name Villalon, James Kellan
Credentials DDS, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Dec 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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