Organization
TREASURED TEETH THORNTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERREN TIPPETS DMD (DENTIST / OWNER)
(970) 240-8694
Entity
Organization
Contact information
Practice address
9880 GRANT ST, THORNTON, CO 80229-2156
(970) 240-8694
Mailing address
100 TESSITORE CT, UNIT C, MONTROSE, CO 81401-5689
(970) 240-8694
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9579
CO
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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