Sandalwood Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SANDALWOOD DENTAL CARE LLC

Practice address

3939 Sandalwood LN
Pueblo, CO 81005-2586

Phone

(719) 564-7737

Fax

(719) 564-0373

NPI assigned

Dec 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Ragulsky, DDS

Title

Dentist

Phone

(719) 251-3562

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1174095624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-564-7737",
            "fax_number": "719-564-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-564-7737",
            "fax_number": "719-564-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "RAGULSKY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-251-3562",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie J Sanchez, PHARMD
• Leann Sanchez, LPC
• Leanne Sanchez
• Margot Sanchez
• Melissa Sanchez
• Kyle Sanders, PT
• Lauren Grace Sandino
• Brian R Sandoval, MD
• Charmayne N Sandoval, LCSW
• Jason Sandoval

• Dental Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.