Alan M Takaki Takaki Dental Care Center
Organization Active NPI General Practice Dentistry · Pueblo, CO
NPI 1841561024 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1841561024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 126 (CO)
- Legal business name
- ALAN M TAKAKI TAKAKI DENTAL CARE CENTER
- Practice address
- 1630 Fortino Blvd
Pueblo, CO 81008-1856 - Phone
- (719) 545-2468
- Fax
- (719) 545-0815
- NPI assigned
- Jan 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Alan M Takaki, DDS
- Title
- Owner
- Phone
- (719) 545-2468
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 126 | CO | Yes |
Addresses
Primary practice location
1630 Fortino Blvd
Pueblo, CO 81008-1856
Mailing address
1630 Fortino Blvd
Pueblo, CO 81008-1856
Phone (719) 545-2468
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04015905 | Medicaid | CO | |
| 810388 | Other | CO | UNITED CONCORDIA |
Other names
- Takaki Dental Care Center
Other providers in Pueblo, CO
- Vickie Gayle Ainsworth
- Stephanie Aker
- Akser Health Services LLC
- Ammer Al-Dairi
- Mohammed Hasan Nemat Al-Musawi
- Tammi Rae Alanis
- Xandria Leigh Alarcon- Otero
- Jenny C Alas
- Fadi Taha Alattar
- Derar Zakaryya Shanwan Albashaireh
All providers in Pueblo, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.