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Thomas Blake Higgins
Pediatric Dentist in Edwards, Colorado
NPI 1720466915

Thomas Blake Higgins is a Pediatric Dentist based in Denver, CO and is specialized in Pediatric Dentistry. Thomas Blake Higgins practices in Edwards, CO. The NPI Number for Thomas Blake Higgins is 1720466915 and holds a License No. (Colorado).

The current practice location address for Thomas Blake Higgins is 105 Edwards Village Blvd Suite D-202, Edwards, CO and can be reached out via phone at 970-926-8486.

Location: 105 Edwards Village Blvd Suite D-202, Edwards, CO, 80209-2598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720466915
Provider Name
Thomas Blake Higgins
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Edwards Village Blvd Suite D-202, Edwards, CO, 80209-2598
Phone Number
970-926-8486
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
105 Edwards Village Blvd Suite D-202
City
Edwards
State
Colorado
Zip
81632
Phone Number
970-926-8486
Fax Number
person
Provider Business Mailing Address Details
Address
105 Edwards Village Blvd Suite D-202
City
Edwards
State
Colorado
Zip
81632
Phone Number
970-926-8486
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
00203482 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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