Individual
DR. THOMAS JOSEPH LAVERY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 298-1782
(970) 298-1726
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 298-1782
(970) 298-1726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106300
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46171738
—
CO
Enumeration date
05/02/2007
Last updated
05/11/2020
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