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Headwaters Dental Management

General Practice Dentistry in Pueblo West, CO · enumerated 2016 · authorized official Brady Sefcik, DDS/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255795464

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Registry record

Entity type Organization (Type 2)
Legal business name Headwaters Dental Management
Other name <Unavail>
Practice address 120 S Stardust Dr, Pueblo West, CO, 81007
Phone (719) 547-4474
Fax (719) 547-4710
Enumeration date Apr 13, 2016
Last updated in NPPES Apr 13, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 00202298 (CO) Primary

Authorized official

Name Brady Sefcik
Title DDS/Owner
Phone (719) 547-4474

Other identifiers

Identifier Type State Issuer
80780580 Medicaid CO -

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.

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Frequently asked questions

Where is Headwaters Dental Management located?
The practice location on file with NPPES is in Pueblo West, CO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-13.