OrganizationActive
Excellence in Dentistry of Pueblo One PLLC
NPI 1730545757 · General Practice Dentistry · Pueblo, CO
Excellence in Dentistry of Pueblo One PLLC is a General Practice Dentistry organization in Pueblo, CO (NPI 1730545757).
Provider details
- NPI number
- 1730545757
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kendall Skinner, Owner(303) 425-1000
- License
- 10691 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1800 Fortino Blvd
Suite #1
Pueblo, CO 81008-1890
Phone: (719) 545-1400
Street-level locationGet directions
Mailing address
9920 Wadsworth Pkwy
Broomfield, CO 80021-6847
Other names (DBA / former)
- Doing business as
- Advantage Dental Group
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2016-01-07
Frequently asked questions
- What is Excellence in Dentistry of Pueblo One PLLC's NPI number?
- Excellence in Dentistry of Pueblo One PLLC's National Provider Identifier (NPI) is 1730545757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Excellence in Dentistry of Pueblo One PLLC?
- Excellence in Dentistry of Pueblo One PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Excellence in Dentistry of Pueblo One PLLC located?
- Excellence in Dentistry of Pueblo One PLLC's practice location on file with NPPES is 1800 Fortino Blvd, Pueblo, CO 81008-1890.
- What is Excellence in Dentistry of Pueblo One PLLC's phone number?
- The practice phone number listed in the NPPES registry for Excellence in Dentistry of Pueblo One PLLC is (719) 545-1400.
- Who is the authorized official for Excellence in Dentistry of Pueblo One PLLC?
- The authorized official listed on Excellence in Dentistry of Pueblo One PLLC's NPPES record is Kendall Skinner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Excellence in Dentistry of Pueblo One PLLC's NPI active?
- Yes — Excellence in Dentistry of Pueblo One PLLC's NPI (1730545757) is active in the NPPES registry as of the last update on 2016-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.