| Signal Tree Family Dental Pllc | |
|
4650 Signal Tree Dr # A1800 Timnath CO 80547-4908 | |
| (970) 449-0306 | |
| Not Available |
| Full Name | Signal Tree Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4650 Signal Tree Dr # A1800, Timnath, Colorado |
| Authorized Official Name and Position | Brock Booton (OWNER) |
| Authorized Official Contact | 9704490306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signal Tree Family Dental Pllc 4650 Signal Tree Dr # A1800 Timnath CO 80547-4908 Ph: (970) 449-0306 | Signal Tree Family Dental Pllc 4650 Signal Tree Dr # A1800 Timnath CO 80547-4908 Ph: (970) 449-0306 |
| NPI Number | 1982464392 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982464392 | NPI | - | NPPES |
| 1699194316 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Timnath Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Signal Tree Dr # 1100, Timnath, CO 80547 Phone: 775-722-3504 | |
Signal Tree Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Signal Tree Dr # A-1800, Timnath, CO 80547 Phone: 970-449-0306 |