OrganizationActive
Headwaters Dental Management
NPI 1255795464 · General Practice Dentistry · Pueblo West, CO
Headwaters Dental Management is a General Practice Dentistry organization in Pueblo West, CO (NPI 1255795464).
Provider details
- NPI number
- 1255795464
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brady Sefcik, Dds/Owner(719) 547-4474
- License
- 00202298 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 S Stardust Dr
Pueblo West, CO 81007-1631
Phone: (719) 547-4474
Fax: (719) 547-4710
Street-level locationGet directions
Mailing address
120 S Stardust Dr
Pueblo West, CO 81007-1631
Other names (DBA / former)
- Doing business as
- Pueblo West Dental Care
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2016-04-13
Frequently asked questions
- What is Headwaters Dental Management's NPI number?
- Headwaters Dental Management's National Provider Identifier (NPI) is 1255795464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Headwaters Dental Management?
- Headwaters Dental Management is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Headwaters Dental Management located?
- Headwaters Dental Management's practice location on file with NPPES is 120 S Stardust Dr, Pueblo West, CO 81007-1631.
- What is Headwaters Dental Management's phone number?
- The practice phone number listed in the NPPES registry for Headwaters Dental Management is (719) 547-4474.
- Who is the authorized official for Headwaters Dental Management?
- The authorized official listed on Headwaters Dental Management's NPPES record is Brady Sefcik, Dds/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Headwaters Dental Management's NPI active?
- Yes — Headwaters Dental Management's NPI (1255795464) is active in the NPPES registry as of the last update on 2016-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.