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

Oral Surgery Specialists of Pueblo, PLLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1619405396

Oral Surgery Specialists of Pueblo, PLLC is an Oral and Maxillofacial Pathology Dentistry in Pueblo, Colorado. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3691 Parker Blvd
Pueblo, CO 81008-2278
Phone: (719) 212-0777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X

Record details

NPI number1619405396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Nelson — Owner · (719) 597-4060
Other names Oral Surgery Specialists Of Pueblo
NPI enumeratedMay 25, 2017
Last updated in NPPESMay 25, 2017
Mailing address3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332