Signal Tree Family Dental PLLC
Organization Active NPI Public Health Dentistry · Timnath, CO
NPI 1487220216 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1487220216
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health Dentistry 1223D0001X
- Legal business name
- SIGNAL TREE FAMILY DENTAL PLLC
- Practice address
- 4650 Signal Tree Dr # a-1800
Timnath, CO 80547-4908 - Phone
- (970) 449-0306
- NPI assigned
- Jun 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Benjamin E Tuinei
- Title
- Credentialing Manager
- Phone
- (602) 750-6897
Practitioners 1
-
Brock Booton, DDS
National Provider Directory
Locations
4650 Signal Tree Dr
#A1800
Timnath, CO 80547
Phone (970) 449-0306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry |
1223D0001X | Yes |
Addresses
Primary practice location
4650 Signal Tree Dr # a-1800
Timnath, CO 80547-4908
Mailing address
4650 Signal Tree Dr # a-1800
Timnath, CO 80547-4908
Phone (970) 449-0306
Other providers in Timnath, CO
- Madison Nicole Rich
- Erica L. Roesch
- Rose Counseling Services
- Shannon Salerno
- Angelina Marie Sciacca
- Signal Tree Family Dental PLLC
- Elizabeth L Sommerfeld
- Kenneth Spencer Steffen
- Danielle Renie Street
- Summit Therapy Group LLC
All providers in Timnath, CO · Public Health Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.