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

Headwaters Dental Management

Organization General Practice Dentistry · NPI 1255795464

Headwaters Dental Management is a General Practice Dentistry in Pueblo West, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016

Practice location Address checks out

120 S Stardust Dr
Pueblo West, CO 81007-1631
Phone: (719) 547-4474
Fax: (719) 547-4710
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 00202298 (CO)

Record details

NPI number1255795464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brady Sefcik — Dds/Owner · (719) 547-4474
Other names Pueblo West Dental Care
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 13, 2016
Mailing address120 S Stardust Dr, Pueblo West, CO 81007-1631

Other providers in Pueblo West