Dental Health Services PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6697 Issued in CO

Legal business name

DENTAL HEALTH SERVICES PC

Practice address

2099 W US Highway 50
Suite #120
Pueblo, CO 81008

Phone

(718) 542-3595

Fax

(719) 543-5665

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary B Graves, DDSNPI 1487877957

Title

Owner

Phone

(719) 542-3595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary B Graves, DDS

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1487877957
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205847480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 W US HIGHWAY 50",
            "address_2": "SUITE #120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "718-542-3595",
            "fax_number": "719-543-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 W US HIGHWAY 50",
            "address_2": "SUITE #120",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "718-542-3595",
            "fax_number": "719-543-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-542-3595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066975",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Denius
• Janet R. Dennis, PT
• Kathryn Marie Dennis, M.A., CCC-SLP
• Michelle Dennison, AGACNP-BC; FNP-BC
• Carol Denogean
• Janise T Denton, D.O.
• Denver Vamc
• Denver Vamc
• Department of Veterans Affairs
• John Robert Dequardo, M.D.

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.