Pagosa Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAGOSA DENTAL PC

Practice address

189 Talisman Dr
Suite E
Pagosa Springs, CO 81147-7916

Phone

(970) 731-6600

Fax

(970) 731-6604

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

William Frederick Thornell Jr., DDSNPI 1396841326

Title

Dentist-Owner

Phone

(970) 731-6600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Frederick Thornell, D.D.S.

  • General Practice Dentistry
  • Pagosa Springs, CO
  • NPI 1396841326
  NPD (past) Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497749386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 TALISMAN DR",
            "address_2": "SUITE E",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477916",
            "telephone_number": "970-731-6600",
            "fax_number": "970-731-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 TALISMAN DR",
            "address_2": "SUITE E",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477916",
            "telephone_number": "970-731-6600",
            "fax_number": "970-731-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGOSA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THORNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "970-731-6600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George E Norwood, MD
• Elly C Osmera, CMT
• Jennifer Marie Owens, LMT
• Pagosa Caritas Family Medicine LLC
• Pagosa Chiropractic
• Pagosa Kids Familydental
• Pagosa P&C Inc.
• Pagosa Peak Family Dentistry, PLLC
• Pagosa Springs Family Dental LLC
• Pagosa Springs Family Medical Center

• General Practice Dentistry in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.