Avalon Dentistry P.C.

Avalon Dentistry P.C. is a healthcare organization registered as General Practice Dentistry in Alamosa, CO, holding Type 2 (organization) NPI 1104020395 since 2007. The authorized official on file is Denise Vandewalle, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104020395
Entity type	Organization (Type 2)
Legal business name	Avalon Dentistry P.C.
Practice address	815 WEST AVE, Alamosa, CO, 81101
Phone	7195894771
Enumeration date	2007-06-12
Last updated in NPPES	2020-08-22

Authorized official

Name	Denise Vandewalle
Title	Owner
Phone	7195894771

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	10535	CO

Copy-ready billing details

Provider: Avalon Dentistry P.C.
NPI: 1104020395
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 815 WEST AVE, Alamosa, CO, 81101

Providers at this address

NPI	Name	Type	Specialty	Location
1972578821	Denise Vandewalle	Individual	General Practice Dentistry	Alamosa, CO
1922207836	Frederic Thrash	Individual	General Practice Dentistry	Alamosa, CO
1861893851	Partner for Health, LLC	Organization	Medical Specialty Clinic/Center	Alamosa, CO
1275990228	Mountain Harmony Yoga and Bodywork	Organization	Massage Therapist	Alamosa, CO
1043758964	Cynthia Tanaka Counseling and Consulting Services	Organization	Mental Health Counselor	Alamosa, CO

Verify this record

Cross-check NPI 1104020395 against the authoritative CMS record: view Avalon Dentistry P.C. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Avalon Dentistry P.C. located?

The practice location on file with NPPES is in Alamosa, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.