South Pueblo Dental Partners LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH PUEBLO DENTAL PARTNERS LLP

Doing business as

Comfort Dental South Pueblo

Practice address

1221 S Pueblo Blvd
Pueblo, CO 81005-1507

Phone

(719) 565-2274

NPI assigned

Jul 5, 2007

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. Russell A Poole, DMD

Title

Doctor Partner

Phone

(719) 565-2274

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental South Pueblo Doing business as

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356549950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051507",
            "telephone_number": "719-565-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051507",
            "telephone_number": "719-565-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PUEBLO DENTAL PARTNERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR  PARTNER",
        "authorized_official_telephone_number": "719-565-2274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental South Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia J Soto
• Rachel L. Soto, AA, CAC I
• Steffan Soto
• Cynthia R. Souleret, PMHNP-BC
• Sound Diagnostic Imaging, Inc
• South Pueblo Medical Investors, LLC (Life Care Center of Pueblo)
• Southern Colorado Anesthesia Professional LLC
• Southern Colorado Clinic
• Southern Colorado Clinic PC
• Southern Colorado Clinic PC

• 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.