TIMOTHY G. BOURDON, DDS, LLC


Address: 902 W 29th St, Pueblo, CO 81008-1159
Phone: 7195421212

TIMOTHY G. BOURDON, DDS, LLC (NPI# 1356558845) 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) 1356558845
Entity Type Organization
Organization Name TIMOTHY G. BOURDON, DDS, LLC
Other Organization Name ABACUS DENTAL CARE
Practice Address 902 W 29th St
Pueblo
CO 81008-1159
Practice Telephone 7195421212
Practice Fax Number 7195455525
Mailing Telephone 7195421212
Mailing Fax Number 7195455525
Enumeration Date 2007-05-16
Last Update Date 2020-08-22
Authorized Official Name DR. TIMOTHY G BOURDON (OWNER DENTIST)
Authorized Official Telephone 7195421212
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
105821 CO Dental Providers

Other Provider/Organization Names

Other Name Type Code
ABACUS DENTAL CARE Doing Business As Name - Organization

Office Location

Street Address 902 W 29TH ST
City PUEBLO
State CO
Zip Code 81008-1159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366423279 Charles Wohlwend Dentist 902 W 29th St, Pueblo, CO 81008-1159 2005-11-08
1699154104 Janice Teuber Dental Hygienist 902 W 29th St, Pueblo, CO 81008-1159 2015-05-29
1659770386 Jalea Baker Counselor 902 W 29th St, Pueblo, CO 81008-1159 2014-08-19
1619244167 Saunders Implant & Denture Care Dental Laboratory 902 W 29th St, Pueblo, CO 81008-1159 2011-11-29
1265768410 Jody Rill Brothers Massage Therapist 902 W 29th St, Suite 300, Pueblo, CO 81008-1159 2009-10-22
1073765301 Anthony Knowlton Dds Dentist 902 W 29th St, Pueblo, CO 81008-1159 2008-10-17
1568648202 Brenda S. Baker Counselor 902 W 29th St, Suite 300, Pueblo, CO 81008-1159 2008-01-11
1861588683 Anthony L Knowlton Dentist 902 W 29th St, Pueblo, CO 81008-1159 2006-10-05
1598856296 Robert Michael Saunders Dentist 902 W 29th St, Pueblo, CO 81008-1159 2006-09-27
1134104599 Robert Chester Davis Dentist 902 W 29th St, Pueblo, CO 81008 2005-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164058913 Healthone Clinic Services - Oncology Hematology LLC Internal Medicine 3678 Parker Blvd, Pueblo, CO 81008 2020-03-12
1073026423 Carmel Community Living Corporation Respite Care 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 2017-11-08
1568987121 Hannah Vivian Roadruck Pharmacist 4200 Dillon Dr., Pueblo, CO 81008 2017-08-04
1184170425 Brett Burana Dentist 729 Us-50, Pueblo, CO 81008 2016-08-28
1760832885 Irby Dental Cottage Dental Hygienist 2099 West St # 50, Suite 180, Pueblo, CO 81008 2016-06-20
1649624362 Curley Peak Dentistry Pllc Dentist 1640 W Fortino Blvd, Pueblo, CO 81008 2016-04-19
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1417327461 Nicole Betts Registered Nurse 1310 Fortino Blvd Ste D, Pueblo, CO 81008 2015-10-02
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396307849 Elizabeth Lee Cochran Dentist 4130 Redwood Ln Unit 130, Pueblo, CO 81005-3292 2019-07-05
1154879344 Pdsc PC Dentist 2041 Pepper Ln, Pueblo, CO 81005-3276 2016-09-15
1437578028 Pueblo Modern Dentistry and Orthodontics, LLP Dentist 727 Us Hwy 50 West, Pueblo, CO 81008 2014-04-10
1558655928 Sarah Elizabeth Keen Dentist 4104 Outlook Blvd, Pueblo, CO 81008-1670 2011-06-03
1861790792 Andrew Comerci Dentist 1100 Eagleridge Blvd, Pueblo, CO 81008-2103 2011-03-01
1467756627 Anthony G Oreskovich Dentist 1111 Pueblo Boulevard Way, Suite 140, Pueblo, CO 81005-1687 2011-01-03
1033356670 Park West Dental PC Dentist 3470 Parker Blvd, Pueblo, CO 81003 2009-01-20
1942479761 James Cover D.d.s., PC Dentist 2020 S Pueblo Blvd, Pueblo, CO 81005-2546 2008-02-26
1801064928 Garbiso Dental Care Center Dentist 3210 Wedgewood Dr, Pueblo, CO 81005-2398 2008-02-11
1790963957 Douglas L. Pearson Dentist 2225 Norman Ln, Pueblo, CO 81005-3357 2008-02-09
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Competitor

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City PUEBLO
Zip Code 81008

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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.

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