Avalon Dentistry P.C.
NPI 1104020395ActiveOrganization· Dentist, General Practice· Alamosa, CO
Dentist, General Practice in Alamosa, Colorado, registered in NPPES in June 2007. The authorized official on file is Denise M. Vandewalle, D.D.S, Owner.
Overview
| NPI | 1104020395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 10535 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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