Individual
BROCK BOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4650 SIGNAL TREE DR # A1800, TIMNATH, CO 80547-4908
(970) 449-0306
(970) 449-0307
Mailing address
4650 SIGNAL TREE DR # A1800, TIMNATH, CO 80547-4908
(970) 449-0306
(970) 449-0307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202451
CO
1223G0001X
General Practice Dentistry
84-1343242
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41031814
—
CO
Enumeration date
04/09/2014
Last updated
03/17/2026
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