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

Pagosa Peak Family Dentistry, PLLC

Organization Dental Clinic/Center · NPI 1184377392

Pagosa Peak Family Dentistry, PLLC is a Dental Clinic/Center in Pagosa Springs, Colorado. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

228 Village Dr
Pagosa Springs, CO 81147-8308
Phone: (216) 374-5693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1184377392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Roukema — President · (216) 374-5693
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address115 Harebell Dr, Pagosa Springs, CO 81147-7721

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