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Headwaters Dental Management
General Practice Dentistry in Pueblo West, Colorado
NPI 1255795464

Headwaters Dental Management is a General Practice Dentistry based in Pueblo West, CO and is specialized in General Practice. Headwaters Dental Management practices in Pueblo West, CO. The NPI Number for Headwaters Dental Management is 1255795464 and holds a License No. 00202298 (Colorado).

The current practice location address for Headwaters Dental Management is 120 S Stardust Dr, Pueblo West, CO and can be reached out via phone at 719-547-4474 and via fax at 719-547-4710.

Location: 120 S Stardust Dr, Pueblo West, CO, 81007-1631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255795464
Provider Name
Headwaters Dental Management
Credential
Provider Entity Type
Organization
Address
120 S Stardust Dr, Pueblo West, CO, 81007-1631
Phone Number
719-547-4474
Fax Number
719-547-4710
Provider Enumeration Date
04/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80780580 05 CO
institution
Provider Business Practice Location Address Details
Address
120 S Stardust Dr
City
Pueblo West
State
Colorado
Zip
81007-1631
Phone Number
719-547-4474
Fax Number
719-547-4710
person
Provider Business Mailing Address Details
Address
120 S Stardust Dr
City
Pueblo West
State
Colorado
Zip
81007-1631
Phone Number
719-547-4474
Fax Number
719-547-4710
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
00202298 (Colorado)
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.
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