Organization Active NPI

Sweet Tooth Dental, PC

  • Dentist
  • Alamosa, CO
National Provider Identifier
1346665262
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8809 Issued in CO
Legal business name
SWEET TOOTH DENTAL, PC
Practice address
216 Victoria Ave
Alamosa, CO 81101-2210
Phone
(719) 937-2227
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Dr. Pawel Bielecki, DDS
Title
Dentist
Phone
(719) 937-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8809 CO Primary

Addresses

Primary practice location

216 Victoria Ave
Alamosa, CO 81101-2210

Mailing address

216 Victoria Ave
Alamosa, CO 81101-2210
Phone (719) 937-2227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1346665262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 VICTORIA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012210",
            "telephone_number": "719-937-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 VICTORIA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012210",
            "telephone_number": "719-937-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "BIELECKI",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-937-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.