OrganizationActive
Timothy G. Bourdon, DDS, LLC
NPI 1356558845 · General Practice Dentistry · Pueblo, CO
Timothy G. Bourdon, DDS, LLC is a General Practice Dentistry organization in Pueblo, CO (NPI 1356558845).
Provider details
- NPI number
- 1356558845
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Bourdon, Owner Dentist(719) 542-1212
- License
- 105821 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
902 W 29th St
Pueblo, CO 81008-1159
Phone: (719) 542-1212
Fax: (719) 545-5525
Street-level locationGet directions
Mailing address
902 W 29th St
Pueblo, CO 81008-1159
Other names (DBA / former)
- Doing business as
- Abacus Dental Care
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Timothy G. Bourdon, DDS, LLC's NPI number?
- Timothy G. Bourdon, DDS, LLC's National Provider Identifier (NPI) is 1356558845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy G. Bourdon, DDS, LLC?
- Timothy G. Bourdon, DDS, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Timothy G. Bourdon, DDS, LLC located?
- Timothy G. Bourdon, DDS, LLC's practice location on file with NPPES is 902 W 29th St, Pueblo, CO 81008-1159.
- What is Timothy G. Bourdon, DDS, LLC's phone number?
- The practice phone number listed in the NPPES registry for Timothy G. Bourdon, DDS, LLC is (719) 542-1212.
- Who is the authorized official for Timothy G. Bourdon, DDS, LLC?
- The authorized official listed on Timothy G. Bourdon, DDS, LLC's NPPES record is Timothy Bourdon, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy G. Bourdon, DDS, LLC's NPI active?
- Yes — Timothy G. Bourdon, DDS, LLC's NPI (1356558845) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.