| Treasured Teeth Thornton, Pllc | |
|
9880 Grant St Thornton CO 80229-2156 | |
| (970) 240-8694 | |
| Not Available |
| Full Name | Treasured Teeth Thornton, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9880 Grant St, Thornton, Colorado |
| Authorized Official Name and Position | Derren Tippets (DENTIST / OWNER) |
| Authorized Official Contact | 9702408694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasured Teeth Thornton, Pllc 100 Tessitore Ct Unit C Montrose CO 81401-5689 Ph: (970) 240-8694 | Treasured Teeth Thornton, Pllc 9880 Grant St Thornton CO 80229-2156 Ph: (970) 240-8694 |
| NPI Number | 1306264262 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306264262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9579 (Colorado) | Primary |
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