Headwaters Dental Management is a Dental Clinic in Pueblo West, Colorado. It is located at 120 S Stardust Dr, Pueblo West, CO and its contact number is 719-547-4474. The authorized person for Headwaters Dental Management is Dr. Brady Sefcik
who is Dds/owner of the clinic and their contact number is 719-547-4474. The primary license number for Headwaters Dental Management is 00202298 (General Practice) in Colorado.
Headwaters Dental Management Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Headwaters Dental Management Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Headwaters Dental Management |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 120 S Stardust Dr, Pueblo West,
Colorado, 81007-1631 |
| Phone: | 719-547-4474 |
| Fax: | 719-547-4710 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Brady Sefcik |
| Position: | Dds/owner |
| Contact Number: | 719-547-4474 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Headwaters Dental Management clinic are as mentioned below.
| NPI Number: | 1255795464 |
| NPI Enumeration Date: | 13 Apr, 2016 |
| NPI Last Update On: | 13 Apr, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Headwaters Dental Management are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 00202298 | Colorado | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 80780580 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Headwaters Dental Management
120 S Stardust Dr,
Pueblo West, Colorado |
| Zip: | 81007-1631 |
| Phone Number: | 719-547-4474 |
| Fax Number: | 719-547-4710 |
Patients can reach Headwaters Dental Management at
120 S Stardust Dr, Pueblo West, Colorado or can
call to book an appointment on 719-547-4474.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.