Kelli Sue Pershin, DDS

General Practice Dentistry · Pueblo, CO

Individual Active NPI

NPI number 1619289121

Practice location

3470 Parker Blvd
Pueblo, CO 81003-2280
Phone
(719) 543-4022
Fax
(719) 543-4008

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NPI record

NPI
1619289121
Entity type
Individual (Type 1)
Enumeration date
July 13, 2010
Last updated
July 13, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10215 CO

Mailing address

3470 Parker Blvd
Pueblo, CO 81003
Phone
(719) 543-4022
Fax
(719) 543-4008

About Dr. Pershin

Kelli Sue Pershin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3470 Parker Blvd, Pueblo, CO 81003-2280. The NPI number 1619289121 was assigned on July 13, 2010 and the record was last updated on July 13, 2010.

Dr. Pershin lists a license in the registry: #10215 (CO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli Sue Pershin, DDS?

The NPI number is 1619289121.

What is the phone number of Dr. Pershin?

The phone number listed for the practice location is (719) 543-4022.

Where is Dr. Pershin located?

3470 Parker Blvd, Pueblo, CO 81003-2280.

What is the taxonomy code for Dr. Pershin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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