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AVALON DENTISTRY P.C.
NPI 1104020395
Dentist - General Practice in Alamosa, CO

Active since June 12, 2007
815 WEST AVE, ALAMOSA, CO 81101(719) 589-4771 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Avalon Dentistry P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON DENTISTRY P.C. (NPI 1104020395) is a healthcare organization registered as a general practice in Alamosa, Colorado and active in the NPI registry since June 2007. The organization lists Denise M Vandewalle, Owner, as its authorized official.

NPPES Registry Identity

NPI1104020395
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAVALON DENTISTRY P.C.
Location Address815 WEST AVEAlamosa, CO 81101-3028
Mailing Address815 West AveAlamosa, CO 81101-3028 · (719) 589-4771
Phone(719) 589-4771
Organization SubpartNo
Authorized OfficialDenise M VandewalleOwner · (719) 589-4771
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104020395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 10535
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
815 WEST AVE, Alamosa, CO 81101
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES
Counselor (Mental Health)
815 WEST AVE
ALAMOSA, CO 81101
Alamosa County (719) 588-6578
MOUNTAIN HARMONY YOGA AND BODYWORK
Massage Therapist
815 WEST AVE
ALAMOSA, CO 81101
Alamosa County (719) 588-5444
PARTNER FOR HEALTH, LLC
Clinic/Center (Medical Specialty)
815 WEST AVE
ALAMOSA, CO 81101
Alamosa County (719) 480-2541
FREDERIC P THRASH DDS
Dentist (General Practice)
815 WEST AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-4771
DR. DENISE MARIE VANDEWALLE DDS
Dentist (General Practice)
815 WEST AVE
ALAMOSA, CO 81101
Alamosa County (719) 589-4771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Dentistry P.C.'s NPI number?

The NPI number for Avalon Dentistry P.C. is 1104020395. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Avalon Dentistry P.C. located?

Avalon Dentistry P.C. is located at 815 West Ave, Alamosa, CO 81101. The listed phone number is (719) 589-4771.

What is Avalon Dentistry P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Avalon Dentistry P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.