MEDICARE: DR. BENJAMIN CAMPBELL THORNAL IV DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	9296	CO

General Provider Information

NPI Number	:	1871645051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN CAMPBELL THORNAL IV DDS

Provider Business Mailing Address
First Line	:	1512 GRAND AVE
Second Line	:	SUITE #102
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3861
Country	:	US
Telephone Number	:	970-947-1273
Fax Number	:	970-928-0741

Provider Business Practice Location Address
First Line	:	1512 GRAND AVE
Second Line	:	SUITE #102
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-3861
Country	:	US
Telephone Number	:	970-947-1273
Fax Number	:	970-928-0741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518018613 — MICHAEL PHILIP SHEA DMD
Practice Location Address:

1512 GRAND AVE , #102
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-947-1273
Practice Fax: 970-928-0741

1023160751 — WILLIAM MCGLASHAN DDS
Practice Location Address:

1512 GRAND AVE , 102
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-947-1273
Practice Fax:

1538210216 — DR. THOMAS KURT SORENSEN DDS
Practice Location Address:

1512 GRAND AVE , #102
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-947-1273
Practice Fax: 970-928-0741

1538296892 — EMBRACEABLE LLC
Practice Location Address:

1512 GRAND AVE , SUITE 102
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-945-2588
Practice Fax: 970-928-0741

1568775666 — DR. MICHAEL BERRY MCEWAN D.D.S.
Practice Location Address:

1512 GRAND AVE
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-945-2588
Practice Fax:

1962770446 — COMFORTDENTAL
Practice Location Address:

1512 GRAND AVE
GLENWOOD SPRINGS, CO
81601-3861

Practice Phone: 970-947-1273
Practice Fax: 970-928-0741

Directions to “ DR. BENJAMIN CAMPBELL THORNAL IV DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.