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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