Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derose Children's Dental Clinic, PC

Organization General Practice Dentistry · NPI 1699724831

Derose Children's Dental Clinic, PC is a General Practice Dentistry in Pueblo, Colorado. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1022 Liberty Ln
Pueblo, CO 81001-2039
Phone: (719) 545-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1699724831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trudy Williams — Director, Licensing & Credentialing · (615) 750-0342
NPI enumeratedMay 7, 2006
Last updated in NPPESMay 17, 2010
Mailing address201 W 8th St, Suite 810, Pueblo, CO 81003-3038

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