Young At Heart Dentistry

LBN: Young At Heart Dentistry
Young At Heart Dentistry is an health care organization with primary practice located at 2603 Vinewood Ln , Pueblo CO 81005-3370. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Young At Heart Dentistry can be contacted via phone (719) 564-6464, or through Purcell, Michael J via phone (719) 543-7123.

Contact Information

Primary practice address
2603 Vinewood Ln Pueblo CO 81005-3370
Phone: (719) 564-6464
Fax: (719) 564-1818
Website:
Map and Directions
Authorized official contact:
Name: Purcell, Michael J Doctor of Dental Surgery (DDS)
Phone: (719) 543-7123

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7055 Colorado

Profile Details

NPI number 1962615492
LBN Legal business name Young At Heart Dentistry
DBA Doing business as
Authorized official Purcell, Michael J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Jan 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962615492 NPPES
Colorado MEDICAID 91284546

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