Healthcare Provider Details

I. General information

NPI: 1417846338
Provider Name (Legal Business Name): HENRY ALLEN TOUCHTON D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 09/14/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W D. L. INGRAM AVENUE BLDG 1408
CANNON AFB NM
88103
US

IV. Provider business mailing address

224 W D. L. INGRAM AVENUE BLDG 1408
CANNON AFB NM
88103
US

V. Phone/Fax

Practice location:
  • Phone: 575-784-2778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number41914
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number00206434
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: