OrganizationActive
Advantage Dental Group
NPI 1205276128 · Dentist · Pueblo, CO
Provider details
- NPI number
- 1205276128
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Authorized official
- Eric Berry, Owner
- License
- 105682 (CO)
Practice location
1800 Fortino Blvd Unit 1
Pueblo, CO 81008-1891
Phone: (719) 545-1400
Fax: (719) 545-5153
Mailing address
1800 Fortino Blvd Unit 1
Pueblo, CO 81008-1891
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.