Southlands Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

104348 Issued in CO

Legal business name

SOUTHLANDS DENTAL ASSOCIATES, LLC

Practice address

6240 S Main St
#220
Aurora, CO 80016-5376

Phone

(303) 400-4865

Fax

(303) 400-5051

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Lynn Thomasson, DDS

Title

Owner

Phone

(303) 400-4865

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1366602526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "#220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "303-400-4865",
            "fax_number": "303-400-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 S MAIN ST",
            "address_2": "#220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165376",
            "telephone_number": "303-400-4865",
            "fax_number": "303-400-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLANDS DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "THOMASSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-400-4865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southlands Physical Therapy LLC

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.