Avalon Dentistry P.C.
Organization Active NPI General Practice Dentistry · Alamosa, CO
NPI 1104020395 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104020395
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10535 (CO)
- Legal business name
- AVALON DENTISTRY P.C.
- Practice address
- 815 West Ave
Alamosa, CO 81101-3028 - Phone
- (719) 589-4771
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Denise M Vandewalle, D.D.S
- Title
- Owner
- Phone
- (719) 589-4771
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 10535 | CO | Yes |
Addresses
Primary practice location
815 West Ave
Alamosa, CO 81101-3028
Mailing address
815 West Ave
Alamosa, CO 81101-3028
Phone (719) 589-4771
Other providers in Alamosa, CO
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- Marco Arriaga
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- Ascension Counseling & Transformation LLC
- Cheyenne Nicole Atencio
- Sheryl Bacon
- Naira Bagumayn
- Kelly Bahr
- Amber Bailon
- Courtney Baker
All providers in Alamosa, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.