Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avalon Dentistry PC

Organization General Practice Dentistry · NPI 1104020395

Avalon Dentistry PC is a General Practice Dentistry in Alamosa, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

815 W Ave
Alamosa, CO 81101-3028
Phone: (719) 589-4771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10535 (CO)

Record details

NPI number1104020395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Vandewalle — Owner · (719) 589-4771
NPI enumeratedJune 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address815 West Ave, Alamosa, CO 81101-3028

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