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Contact Information

DENTAL HEALTH SERVICES PC
2099 W US HIGHWAY 50
SUITE #120
PUEBLO, CO81008
 Phone: 718-542-3595
 Fax: 719-543-5665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL HEALTH SERVICES PC

NPI Number 1205847480
LBN Legal business name DENTAL HEALTH SERVICES PC
Authorized official GARY GRAVES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 6697
CO Medicaid 02066975
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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