PUEBLO MODERN DENTISTRY AND ORTHODONTICS, LLP (NPI# 1437578028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437578028 |
| Entity Type | Organization |
| Organization Name | PUEBLO MODERN DENTISTRY AND ORTHODONTICS, LLP |
| Other Organization Name | PUEBLO MODERN DENTISTRY AND ORTHODONTICS |
| Practice Address |
727 Us Hwy 50 West Pueblo CO 81008 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7195424000 |
| Practice Fax Number | 7195424001 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | SCOTT W CAIRNS (OWNER DOCTOR) |
| Authorized Official Telephone | 7195424000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Pueblo Modern Dentistry and Orthodontics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pueblo Modern Dentistry and Orthodontics, LLP | 17000 Red Hill Avenue, Irvine, CA 92614 |
| Street Address |
727 US HWY 50 WEST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008 |
| 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 |
| 1063838415 | Regina Stephan | Occupational Therapist | 4776 Eagleridge Circle, Va Eastern Colorado Health Care System, Pueblo, CO 81008 | 2014-03-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 |
| 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 |
| 1427170406 | Roger L Wright | Dentist | 121 S Crescent Dr, Pueblo, CO 81007-5433 | 2007-04-03 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on PUEBLO MODERN DENTISTRY AND ORTHODONTICS, LLP.
| 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.