Organization
OWEN AND TIMOCK ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM M TIMOCK DDS, MS (OWNER)
(913) 568-1275
Entity
Organization
Contact information
Practice address
3221 EASTBROOK DR, BUILDING A SUITE 103, FORT COLLINS, CO 80525-5708
(970) 484-4102
(970) 484-1591
Mailing address
3221 EASTBROOK DR, BUILDING A SUITE 103, FORT COLLINS, CO 80525-5708
(970) 484-4102
(970) 484-1591
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10298
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9259
CO
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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