Pueblo Endodontic Asso Llc in Pueblo - Endodontics
Pueblo Endodontic Asso Llc - NPI 1609096999
Pueblo Endodontic Asso Llc is a Endodontics in Pueblo, Colorado. Pueblo Endodontic Asso Llc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Pueblo Endodontic Asso Llc is 1609096999. The last update date is 2020-08-22.
Pueblo Endodontic Asso Llc's current location address is Po Box 9660, Pueblo, Colorado. You can contact this provider via phone number 7195448900 and fax number 7195450700. The mailing address for Pueblo Endodontic Asso Llc is Po Box 9660, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pueblo Endodontic Asso Llc |
|---|---|
| Address | Po Box 9660, Pueblo, Colorado |
| Phone Number | 7195448900 |
| Fax Number | 7195450700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Westphal R Reginald |
| Credentials | DDS MS |
| Telephone Number | 7195448900 |
NPI Number Detail
| NPI Number | 1609096999 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 9660 |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810089409 |
| Phone Number | 7195448900 |
| Fax Number | 7195450700 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 100988 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Pueblo Endodontic Asso Llc by the Centers for Medicare & Medicaid Services?
The Pueblo Endodontic Asso Llc has been issued the NPI (National Provider Identifier) 1609096999. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pueblo Endodontic Asso Llc's facilities are geographically located?
The facilities of Pueblo Endodontic Asso Llc are physically situated at the following location: Po Box 9660, Pueblo, CO, 810089409.
What is Pueblo Endodontic Asso Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pueblo Endodontic Asso Llc is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did Pueblo Endodontic Asso Llc receive its 1609096999 assignment from the Centers for Medicare & Medicaid Services?
The Pueblo Endodontic Asso Llc was assigned its 1609096999 on 2007-04-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Pueblo Endodontic Asso Llc's information last updated?
The Pueblo Endodontic Asso Llc's information was last updated on 2020-08-22.