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

Eagleridge Dental

Organization Dentist · NPI 1487288106

Eagleridge Dental is a Dentist in Walsenburg, Colorado. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

104 E 6th St
Walsenburg, CO 81089-2020
Phone: (719) 738-2544
Fax: (719) 738-3747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1044 Eagleridge Blvd, Pueblo, CO 81008-2130 — (719) 542-1212

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1487288106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Wohlwend — Dentist · (719) 542-1212
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address1044 Eagleridge Blvd, Pueblo, CO 81008-2130

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