Individual
REAGAN ALLISON TWEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 312-9679
Mailing address
3256 S GLENCOE ST, DENVER, CO 80222-7518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00206016
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2024
Last updated
04/22/2026
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