| Topham Dental | |
|
1055 17th Ave Ste 202 Longmont CO 80501-2647 | |
| (303) 772-2611 | |
| (303) 772-5106 |
| Full Name | Topham Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1055 17th Ave Ste 202, Longmont, Colorado |
| Authorized Official Name and Position | David Scott Topham (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3037722611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Topham Dental 1055 17th Ave Ste 202 Longmont CO 80501-2647 Ph: (303) 772-2611 | Topham Dental 1055 17th Ave Ste 202 Longmont CO 80501-2647 Ph: (303) 772-2611 |
| NPI Number | 1164936035 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164936035 | NPI | - | NPPES |
| 1992911762 | Other | INDIVIDUAL NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10254 (Colorado) | Primary |
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