Pueblo Dental Center of Pueblo
NPI 1699100982ActiveOrganization· Dentist, General Practice· Pueblo, CO
Dentist, General Practice in Pueblo, Colorado, registered in NPPES in September 2013, part of Prestige Dental Centers LLC. The authorized official on file is Tina Comer, Office Manager.
Overview
| NPI | 1699100982 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prestige Dental Centers LLC |
| NPI issued | Sep 5, 2013 |
| Last updated in NPPES | Sep 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7989 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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