Derose Children's Dental Clinic, Pc is a Dental Clinic in Pueblo, Colorado. It is located at 1022 Liberty Ln, Pueblo, CO and its contact number is 719-545-5775. The authorized person for Derose Children's Dental Clinic, Pc is Ms. Trudy Williams
who is Director, Licensing & Credentialing of the clinic and their contact number is 615-750-0342. Other organizations associated with this clinic are Braces4kids, Pllc, Family & Kids Dental Pc, Derose Children's Dental Clinic, Pc,
Derose Children's Dental Clinic, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Derose Children's Dental Clinic, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Derose Children's Dental Clinic, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1022 Liberty Ln, Pueblo,
Colorado, 81001-2039 |
| Phone: | 719-545-5775 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Trudy Williams |
| Position: | Director, Licensing & Credentialing |
| Contact Number: | 615-750-0342 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Derose Children's Dental Clinic, Pc clinic are as mentioned below.
| NPI Number: | 1699724831 |
| NPI Enumeration Date: | 07 May, 2006 |
| NPI Last Update On: | 17 May, 2010 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Braces4kids, Pllc | Orthodontics and Dentofacial Orthopedics | 1447633953 |
| Family & Kids Dental Pc | General Practice Dentistry | 1578822375 |
| Derose Children's Dental Clinic, Pc | General Practice Dentistry | 1699724831 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derose Children's Dental Clinic, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 42852561 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Derose Children's Dental Clinic, Pc
201 W 8th St, Suite 810
Pueblo, Colorado |
| Zip: | 81003-3038 |
| Phone Number: | 719-562-4447 |
Patients can reach Derose Children's Dental Clinic, Pc at
1022 Liberty Ln, Pueblo, Colorado or can
call to book an appointment on 719-545-5775.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.