Organization
D SCOTT TOPHAM DDS PROFESSIONAL LLC
Active
Other names
Topham Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT TOPHAM DDS (DENTIST/PRESIDENT)
(303) 772-2611
Entity
Organization
Contact information
Practice address
1055 17TH AVE STE 202, LONGMONT, CO 80501-2647
(303) 772-2611
(303) 772-5106
Mailing address
1055 17TH AVE STE 202, LONGMONT, CO 80501-2647
(303) 772-2611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10254
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992911762
INDIVIDUAL NPI TYPE 1
—
Enumeration date
11/29/2017
Last updated
11/29/2017
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