Organization
MAIN STREET FAMILY DENISTRY
Active
Other names
Smile Designers Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P DRAKE JR. DDS (OWNER)
(303) 678-7800
Entity
Organization
Contact information
Practice address
1246 N MAIN ST, LONGMONT, CO 80501
(303) 678-7800
(303) 678-5375
Mailing address
1246 N MAIN ST, LONGMONT, CO 80501
(303) 678-7800
(303) 678-5375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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