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South Pueblo Dental Partners LLP

NPI 1356549950ActiveOrganization· Dentist, General Practice· Pueblo, CO

Dentist, General Practice in Pueblo, Colorado, registered in NPPES in July 2007. The authorized official on file is Russell A. Poole, DMD, Doctor Partner.

Overview

NPI1356549950
StatusActive
Entity typeOrganization
NPI issuedJul 5, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Pueblo

All 91 general dentists in Pueblo · All general dentists in Colorado