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General NPI Number Information
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NPI Number | 1073424677
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Entity Type | Organization
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Legal Business Name | CASTLE ROCK SLEEP, TMJ & OROFACIAL PAIN PLLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 779 CROSSROADS CIR
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City | ELIZABETH
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State | CO
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Zip | 80107-5119
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Country | US
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Telephone | 303-646-3935
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Fax |
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Provider Business Mailing Address
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Address Line | 5281 FOXBOROUGH CT
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-6898
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER RAY SPROUT
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Credential | DDS
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Telephone | 303-646-3935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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