NPI 1255795464 HEADWATERS DENTAL MANAGEMENT PUEBLO WEST CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Headwaters Dental Management - NPI: 1255795464

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: HEADWATERS DENTAL MANAGEMENT
NPI Number: 1255795464
Entity Type Code: Organizational (2)
Authorized Official Name: BRADY SEFCIK
(DDS/OWNER)
Mailing Address: 120 S Stardust Dr
Pueblo West
State: CO US
Postal Code: 810071631
Phone Number: 7195474474
Fax Number: 7195474710
NPI Enumeration Date: 04/13/2016
NPI Last Update Date: 04/13/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: 00202298
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


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