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General NPI Number Information
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NPI Number | 1538266754
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Entity Type | Organization
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Legal Business Name | TIMOTHY P MASTERSON DDS, PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8120 S HOLLY SUITE 208
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City | LITTLETON
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State | CO
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Zip | 80122
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Country | US
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Telephone | 303-770-2254
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Fax | 303-770-2285
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Provider Business Mailing Address
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Address Line | 8120 S HOLLY SUITE 208
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City | LITTLETON
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State | CO
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Zip | 80122
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Country | US
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Telephone | 303-770-2254
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Fax | 303-770-2285
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Authorized Official
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Title or Position | OWNER - DENTIST
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Name | DR. TIMOTHY PATRICK MASTERSON
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Credential | DDS
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Telephone | 303-770-2254
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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 | 104118
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License Number State | CO
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