OrganizationActive
Eden Dental Pueblo PC
NPI 1154970366 · Periodontics · Pueblo, CO
Eden Dental Pueblo PC is a Periodontics organization in Pueblo, CO (NPI 1154970366).
Provider details
- NPI number
- 1154970366
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michael Herrera, Business Manager(760) 978-8527
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs 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
2041 Pepper Ln
Pueblo, CO 81005-3276
Phone: (719) 696-9009
Street-level locationGet directions
Mailing address
2041 Pepper Ln
Pueblo, CO 81005-3276
Other names (DBA / former)
- Doing business as
- Implant & Periodontic Specialists of Pueblo
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Frequently asked questions
- What is Eden Dental Pueblo PC's NPI number?
- Eden Dental Pueblo PC's National Provider Identifier (NPI) is 1154970366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eden Dental Pueblo PC?
- Eden Dental Pueblo PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Eden Dental Pueblo PC located?
- Eden Dental Pueblo PC's practice location on file with NPPES is 2041 Pepper Ln, Pueblo, CO 81005-3276.
- What is Eden Dental Pueblo PC's phone number?
- The practice phone number listed in the NPPES registry for Eden Dental Pueblo PC is (719) 696-9009.
- Who is the authorized official for Eden Dental Pueblo PC?
- The authorized official listed on Eden Dental Pueblo PC's NPPES record is Michael Herrera, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eden Dental Pueblo PC's NPI active?
- Yes — Eden Dental Pueblo PC's NPI (1154970366) is active in the NPPES registry as of the last update on 2020-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.