Organization
PUEBLO DENTAL CENTER OF PUEBLO
Active
Parent organization
PRESTIGE DENTAL CENTERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE DENTAL CENTERS LLC
Authorized official
TINA COMER (OFFICE MANAGER)
(719) 582-4222
Entity
Organization
Contact information
Practice address
1700 N SALEM AVE, SUITE B, PUEBLO, CO 81001-2846
(719) 582-4222
(719) 597-7507
Mailing address
3208 N ACADEMY BLVD, SUITE 110, COLORADO SPRINGS, CO 80917-5161
(719) 597-3700
(719) 597-7507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7989
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
09/05/2013
Last updated
09/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us