NPI 1043600166

Southlands Comprehensive Dentistry

Organisation General Practice Dentistry Aurora, CO

Practice location

Address: 6240 S Main St STE 220, Aurora, CO 80016-5412
Phone: (303) 400-4865
Fax: (303) 400-5051

Authorised official

Name: Thomas Thomasson
Title: Owner/Dentist
Phone: (303) 400-4865

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 104348 (CO)

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Registry record

NPI: 1043600166
Entity type: Organization
NPI issued: 27 Jan 2015
Record last updated: 27 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.