OrganizationActive
Eden Dental Pueblo PC
NPI 1154970366 · Periodontics · Pueblo, CO
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(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.