Healthcare Provider Details

I. General information

NPI: 1104046408
Provider Name (Legal Business Name): DAVID S TURNER, DDS, MS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 09/29/2021
Certification Date: 09/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 KIOWA DRIVE
LOVELAND CO
80538
US

IV. Provider business mailing address

2730 KIOWA DRIVE
LOVELAND CO
80538
US

V. Phone/Fax

Practice location:
  • Phone: 432-889-3525
  • Fax: 432-522-1974
Mailing address:
  • Phone: 432-889-3525
  • Fax: 432-522-1974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number09130
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID STOREY TURNER
Title or Position: PRESIDENT
Credential: DDS, MS
Phone: 432-889-3525