Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Avalon Dentistry PC

Organization General Practice Dentistry · NPI 1104020395

Avalon Dentistry PC provides 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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