NPI 1720466915

Thomas Blake Higgins

Practitioner Pediatric Dentistry Edwards, CO

Practice location

Address: 105 Edwards Village Blvd Suite D-202 PO Box 41, Edwards, CO 81632
Phone: (970) 926-8486
Mailing address: 400 S Lafayette St APT 607, Denver, CO 80209-2598

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 00203482 (CO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1720466915
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2015
Record last updated: 16 Jul 2024

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.