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

Iconic Dental Inc

Organization General Practice Dentistry · NPI 1497103691

Iconic Dental Inc is a General Practice Dentistry in Walsenburg, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

624 Main St
Walsenburg, CO 81089-2136
Phone: (719) 695-1004
Fax: (719) 695-1006
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (CO)

Record details

NPI number1497103691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taci Cooper — Office Manager · (719) 241-3140
NPI enumeratedMay 27, 2016
Last updated in NPPESMay 27, 2016
Mailing address624 Main St, Walsenburg, CO 81089-2136

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