OrganizationActive
Iconic Dental Inc
NPI 1497103691 · General Practice Dentistry · Walsenburg, CO
Iconic Dental Inc is a General Practice Dentistry organization in Walsenburg, CO (NPI 1497103691).
Provider details
- NPI number
- 1497103691
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Taci Cooper, Office Manager(719) 241-3140
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
624 Main St
Walsenburg, CO 81089-2136
Phone: (719) 695-1004
Fax: (719) 695-1006
Street-level locationGet directions
Mailing address
624 Main St
Walsenburg, CO 81089-2136
Registry dates
- Enumerated
- 2016-05-27
- Last updated
- 2016-05-27
Frequently asked questions
- What is Iconic Dental Inc's NPI number?
- Iconic Dental Inc's National Provider Identifier (NPI) is 1497103691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iconic Dental Inc?
- Iconic Dental Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Iconic Dental Inc located?
- Iconic Dental Inc's practice location on file with NPPES is 624 Main St, Walsenburg, CO 81089-2136.
- What is Iconic Dental Inc's phone number?
- The practice phone number listed in the NPPES registry for Iconic Dental Inc is (719) 695-1004.
- Who is the authorized official for Iconic Dental Inc?
- The authorized official listed on Iconic Dental Inc's NPPES record is Taci Cooper, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iconic Dental Inc's NPI active?
- Yes — Iconic Dental Inc's NPI (1497103691) is active in the NPPES registry as of the last update on 2016-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.