OrganizationActive
Derose Children'S Dental Clinic, PC
NPI 1699724831 · General Practice Dentistry · Pueblo, CO
Derose Children'S Dental Clinic, PC is a General Practice Dentistry organization in Pueblo, CO (NPI 1699724831).
Provider details
- NPI number
- 1699724831
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Trudy Williams, Director, Licensing & Credentialing(615) 750-0342
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1022 Liberty Ln
Pueblo, CO 81001-2039
Phone: (719) 545-5775
Street-level locationGet directions
Mailing address
201 W 8th St
Pueblo, CO 81003-3038
Registry dates
- Enumerated
- 2006-05-07
- Last updated
- 2010-05-17
Frequently asked questions
- What is Derose Children'S Dental Clinic, PC's NPI number?
- Derose Children'S Dental Clinic, PC's National Provider Identifier (NPI) is 1699724831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derose Children'S Dental Clinic, PC?
- Derose Children'S Dental Clinic, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Derose Children'S Dental Clinic, PC located?
- Derose Children'S Dental Clinic, PC's practice location on file with NPPES is 1022 Liberty Ln, Pueblo, CO 81001-2039.
- What is Derose Children'S Dental Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Derose Children'S Dental Clinic, PC is (719) 545-5775.
- Who is the authorized official for Derose Children'S Dental Clinic, PC?
- The authorized official listed on Derose Children'S Dental Clinic, PC's NPPES record is Trudy Williams, Director, Licensing & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derose Children'S Dental Clinic, PC's NPI active?
- Yes — Derose Children'S Dental Clinic, PC's NPI (1699724831) is active in the NPPES registry as of the last update on 2010-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.