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

My Local Colorado Dental Practice, LLC

Organization General Practice Dentistry · NPI 1821642596

My Local Colorado Dental Practice, LLC is a General Practice Dentistry in Pueblo, Colorado. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 Fortino Blvd
Pueblo, CO 81008-1890
Phone: (719) 545-1400
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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 number1821642596
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMy Local Colorado Dental Practice, LLC
Authorized official Michelle Johnson — Credentialing Specialist · (509) 315-8338
Other names Advantage Dental Group
NPI enumeratedJuly 30, 2019
Last updated in NPPESJuly 30, 2019
Mailing address1800 Fortino Blvd, Pueblo, CO 81008-1890

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