SOUTHERN COLORADO DENTAL ANESTHESIOLOGY

Address: 1225 N Main St Ste 207, Pueblo, CO 81003-2857
Phone: 7192860733

SOUTHERN COLORADO DENTAL ANESTHESIOLOGY (NPI# 1801406434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801406434
Entity Type Organization
Organization Name SOUTHERN COLORADO DENTAL ANESTHESIOLOGY
Other Organization Name SOUTHERN COLORADO DENTAL ANESTHESIA
Practice Address 1225 N Main St Ste 207
Pueblo
CO 81003-2857
Practice Telephone 7192860733
Enumeration Date 2020-08-07
Last Update Date 2020-09-11
Authorized Official Name DR. JAMES KELLAN VILLALON (DENTIST ANESTHESIOLOGIST/OWNER)
Authorized Official Telephone 7192860733
Authorized Official Credential DDS, MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Villalon Anesthesiology Doing Business As Name - Organization
SOCO Dental Anesthesia Other Name - Individual/Organization
Southern Colorado Dental Anesthesia Other Name - Individual/Organization

Office Location

Street Address 1225 N MAIN ST STE 207
City PUEBLO
State CO
Zip Code 81003-2857

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851777304 James Kellan Villalon Dentist 1225 N Main St Ste 207, Pueblo, CO 81003-2857 2015-08-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164042016 Sunil Kumar Student in an Organized Health Care Education/Training Program Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2020-04-21
1497382303 Pueblo Family Dentistry Pllc Dentist 701 N Grand Avenue, Suite B, Pueblo, CO 81003 2020-03-23
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
1700313459 Allison Vigil Occupational Therapist 1600 W. 24th St, Pueblo, CO 81003 2017-05-12
1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
1396195665 Parkview Medical Center General Acute Care Hospital 411 W. 14th St, Pueblo, CO 81003 2016-06-17
Find all providers in zip 81003

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023654241 Elmer A. Villalon, Dmd, LLC Clinic/Center 1225 North Main Street, #207, Pueblo, CO 81003 2019-11-22
1457506586 Comfort Dental North Pueblo Clinic/Center 2025 Us Highway 50 West, Suite A100, Pueblo, CO 81008 2008-11-17
1174700629 Michael J. Purcell, Dds Clinic/Center 1640 Fortino Blvd, Pueblo, CO 81008-1856 2008-01-28
1174095624 Sandalwood Dental Care LLC Clinic/Center 3939 Sandalwood Ln, Pueblo, CO 81005-2586 2018-12-21
1417377938 Loren Sites Dds Pllc Clinic/Center 4104 Outlook Blvd, Suite 138, Pueblo, CO 81008-1670 2014-04-23
1851651848 Integrity Dental Inc Clinic/Center 1100 Eagleridge Blvd, Pueblo, CO 81008 2012-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023615556 Vida Orthodontics Clinic/Center 19551 Hess Rd Unit 110, Parker, CO 80134-3446 2020-10-07
1417554668 Turner, Pllc Clinic/Center 5361 S Gray St, Denver, CO 80123-5110 2020-10-01
1316553860 Willow Creek Perfect Teeth PC Clinic/Center 8150 S Quebec St Ste C, Centennial, CO 80112-3186 2020-09-21
1326653841 Nic - Denver, Pllc Clinic/Center 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 2020-09-11
1568075489 Open and Affordable Dental Cs North Pllc Clinic/Center 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 2020-08-29
1114530748 Sol Dental Pllc Clinic/Center 1371 Hecla Dr Ste D2, Louisville, CO 80027-2318 2020-08-24
1114537735 Professional Dental Care of Northern Colorado I Pllc Clinic/Center 13097 S Parker Rd, Parker, CO 80134-7447 2020-08-07
1790395028 Jeff Marlor Dmd PC Clinic/Center 1907 Boise Ave Ste 4, Loveland, CO 80538-4291 2020-08-02
1942819362 Professional Dental Care of Central Colorado II,Pllc Clinic/Center 7601 Burning Tree Dr Ste 200, Franktown, CO 80116-9523 2020-07-31
1790394138 Professional Dental Care of Central Colorado I Pllc Clinic/Center 13097 S Parker Rd Unit A, Parker, CO 80134-7447 2020-07-30
Find all providers with the same taxonomy

Competitor

Search similar providers

City PUEBLO
Zip Code 81003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.