Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
EDEN DENTAL PUEBLO PC
Active
Organization
EDEN DENTAL PUEBLO PC
Active
Other names
Implant & Periodontic Specialists of Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT HERRERA (BUSINESS MANAGER)
(760) 978-8527
Entity
Organization
Contact information
Practice address
2041 PEPPER LN, PUEBLO, CO 81005-3276
(719) 696-9009
Mailing address
2041 PEPPER LN, PUEBLO, CO 81005-3276
(719) 696-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
11/12/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up