Canyon Ridge Pediatric Dentistry

LBN: Marc D. Thomas D.D.S., P.C.
Canyon Ridge Pediatric Dentistry is an health care organization with primary practice located at 4344 Woodlands Blvd Suite 260, Castle Rock CO 80104-2801. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Marc D. Thomas D.D.S., P.C. can be contacted via phone (303) 841-7900, or through Thomas, Marc David via phone (303) 841-7900.

Contact Information

Primary practice address
4344 Woodlands Blvd Suite 260 Castle Rock CO 80104-2801
Fax: (303) 688-6210
Website:
Authorized official contact:
Name: Thomas, Marc David Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 10771 Colorado

Profile Details

NPI number 1447692538
LBN Legal business name Marc D. Thomas D.D.S., P.C.
DBA Doing business as Canyon Ridge Pediatric Dentistry
Authorized official Thomas, Marc David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2013
Last updated Jul 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447692538 NPPES
Colorado MEDICAID 46455035

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