Healthcare Provider Details

I. General information

NPI: 1598326712
Provider Name (Legal Business Name): SARA B TOUCHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 CAMERON ST
BRUSH CO
80723-2017
US

IV. Provider business mailing address

302 CAMERON ST
BRUSH CO
80723-2017
US

V. Phone/Fax

Practice location:
  • Phone: 970-842-2858
  • Fax:
Mailing address:
  • Phone: 970-842-2858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number35221
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number00206334
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: