Tower Modern Dental Practice, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10115 Issued in CO

Legal business name

TOWER MODERN DENTAL PRACTICE, LLC

Practice address

4998 Tower Rd
Denver, CO 80249

Phone

(303) 317-5545

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Scott Frederick, DDS

Title

Owner/Doctor

Phone

(303) 317-5545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1609309707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 TOWER RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80249",
            "telephone_number": "303-317-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 TOWER RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80249",
            "telephone_number": "303-317-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER MODERN DENTAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "303-317-5545",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• August Tousignant- Stanton, LCSW, LMFT
• Ashley Ostler Toussaint
• Desiree Brooke Toussaint
• Caroline Tovani, RBT
• Laura Beth Towbin, PT, DPT
• Tower Speech & Language, LLC
• Kathryn Rachel Tower, MA CCC-SLP
• Town Center Dental LLC
• Ryan Matthew Town
• Caleb Joseph Towner, NP

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 Apr 5, 2017; 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.