Denise Marie Vandewalle, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105353 Issued in CO

Practice address

815 West Ave
Alamosa, CO 81101-3028

Phone

(719) 589-4771

Fax

(719) 589-4258

NPI assigned

Feb 22, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avalon Dentistry P.C.

  • General Practice Dentistry
  • Alamosa, CO
  • NPI 1104020395
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972578821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WEST AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013028",
            "telephone_number": "719-589-4771",
            "fax_number": "719-589-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WEST AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013028",
            "telephone_number": "719-589-4771",
            "fax_number": "719-589-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWALLE",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley-Wide Health Systems, Inc (Alamosa Family Medical Center)
• Valley-Wide Health Systems, Inc. (Sierra Blanca Medical Center)
• Valley-Wide Health Systems, Inc. (Rock Creek Family Medicine)
• Valley-Wide Health Systems, Inc. (Mini MRV (Mobile Response Vehicle))
• Valley-Wide Health Systems, Inc. (Valley-Wide Health Systems, Inc. Counseling and Support Center)
• Adam Vasquez
• Angelica Vazquez
• Anna Maria Velasquez
• Cathy Velasquez
• Ricardo S Velasquez, MD

• General Practice Dentistry in Alamosa, CO
• Providers in Alamosa, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.