Blaskovich Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLASKOVICH DENTAL PC

Practice address

332 S Orchard Springs Dr Ste 110
Pueblo West, CO 81007-6154

Phone

(719) 647-9433

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By 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

Mark Blaskovich, DMDNPI 1780930073

Title

Owner Doctor

Phone

(719) 647-9433

Specialties & licenses 1

Addresses

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.

• Mark Blaskovich, D.M.D.

  • General Practice Dentistry
  • Pueblo West, CO
  • NPI 1780930073
  Authorized official Same address or phone

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1326945460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR STE 110",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076154",
            "telephone_number": "719-647-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR STE 110",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076154",
            "telephone_number": "719-647-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLASKOVICH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BLASKOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "719-647-9433",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Berentz Jr., LCSW
• Lawrence Scott Bethel, RPH
• Shannon Belle Bethel, RPH
• Emily Grace Betts
• Heather Jeanne Bever, MA, CCC-SLP
• Mark Blaskovich, D.M.D.
• Jessica Bollman, MS, BCBA
• Boondocs Medical Services, LLC
• Braden Partners LP (Pacific Pulmonary Services)
• Daphne Dawn Bradley, FNP

• Dental Clinic/Center in Pueblo West, CO
• Providers in Pueblo West, 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 Oct 22, 2026; 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.