OrganizationActive
Prestige Dental Pueblo, PLLC
NPI 1083424758 · General Practice Dentistry · Pueblo, CO
Prestige Dental Pueblo, PLLC is a General Practice Dentistry organization in Pueblo, CO (NPI 1083424758).
Provider details
- NPI number
- 1083424758
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nick Sundiam, Credentialing Manager(719) 300-5933
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 N Salem Ave Ste B
Pueblo, CO 81001-2861
Phone: (719) 582-4222
Street-level locationGet directions
Mailing address
1700 N Salem Ave Ste B
Pueblo, CO 81001-2861
Other names (DBA / former)
- Doing business as
- Prestige Dental Center South (pueblo)
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Frequently asked questions
- What is Prestige Dental Pueblo, PLLC's NPI number?
- Prestige Dental Pueblo, PLLC's National Provider Identifier (NPI) is 1083424758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Dental Pueblo, PLLC?
- Prestige Dental Pueblo, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prestige Dental Pueblo, PLLC located?
- Prestige Dental Pueblo, PLLC's practice location on file with NPPES is 1700 N Salem Ave Ste B, Pueblo, CO 81001-2861.
- What is Prestige Dental Pueblo, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Dental Pueblo, PLLC is (719) 582-4222.
- Who is the authorized official for Prestige Dental Pueblo, PLLC?
- The authorized official listed on Prestige Dental Pueblo, PLLC's NPPES record is Nick Sundiam, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Dental Pueblo, PLLC's NPI active?
- Yes — Prestige Dental Pueblo, PLLC's NPI (1083424758) is active in the NPPES registry as of the last update on 2025-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.