OrganizationActive
My Local Colorado Dental Practice, LLC
NPI 1821642596 · General Practice Dentistry · Pueblo, CO
My Local Colorado Dental Practice, LLC is a General Practice Dentistry organization in Pueblo, CO (NPI 1821642596).
Provider details
- NPI number
- 1821642596
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- My Local Colorado Dental Practice, LLC
- Organization subpart
- Yes
- Authorized official
- Michelle Johnson, Credentialing Specialist(509) 315-8338
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 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
1800 Fortino Blvd
Pueblo, CO 81008-1890
Phone: (719) 545-1400
Street-level locationGet directions
Mailing address
1800 Fortino Blvd
Pueblo, CO 81008-1890
Other names (DBA / former)
- Doing business as
- Advantage Dental Group
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2019-07-30
Frequently asked questions
- What is My Local Colorado Dental Practice, LLC's NPI number?
- My Local Colorado Dental Practice, LLC's National Provider Identifier (NPI) is 1821642596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Local Colorado Dental Practice, LLC?
- My Local Colorado Dental Practice, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is My Local Colorado Dental Practice, LLC located?
- My Local Colorado Dental Practice, LLC's practice location on file with NPPES is 1800 Fortino Blvd, Pueblo, CO 81008-1890.
- What is My Local Colorado Dental Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for My Local Colorado Dental Practice, LLC is (719) 545-1400.
- Who is the authorized official for My Local Colorado Dental Practice, LLC?
- The authorized official listed on My Local Colorado Dental Practice, LLC's NPPES record is Michelle Johnson, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Local Colorado Dental Practice, LLC's NPI active?
- Yes — My Local Colorado Dental Practice, LLC's NPI (1821642596) is active in the NPPES registry as of the last update on 2019-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.