Provider Demographics
NPI:1437405503
Name:WESTSTEYN, EDITH COLETTE (DDS)
Entity Type:Individual
Prefix:MISS
First Name:EDITH
Middle Name:COLETTE
Last Name:WESTSTEYN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 METZ LN APT 304
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7828
Mailing Address - Country:US
Mailing Address - Phone:505-402-6000
Mailing Address - Fax:
Practice Address - Street 1:20 PIONEER AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8009
Practice Address - Country:US
Practice Address - Phone:970-259-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170172851223G0001X
NMDH3361124Q00000X
CO002049971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
No124Q00000XDental ProvidersDental Hygienist