Roxborough Family Dental Management LLC
Organization Active NPI General Practice Dentistry · Roxborough, CO
NPI 1861928095 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1861928095
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ROXBOROUGH FAMILY DENTAL MANAGEMENT LLC
- Practice address
- 8361 N Rampart Range Rd
Suite 200
Roxborough, CO 80125-9366 - Phone
- (208) 351-1001
- NPI assigned
- May 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Todd Lee Matheson, DMD
- Title
- Owner
- Phone
- (208) 351-1001
National Provider Directory
Locations
8361 N Rampart Range Rd
Ste 200
Roxborough, CO 80125
Phone (208) 351-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | CO | Yes |
Addresses
Primary practice location
8361 N Rampart Range Rd
Suite 200
Roxborough, CO 80125-9366
Mailing address
8241 Xenon CT
Arvada, CO 80005-5294
Phone (208) 351-1001
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. 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.