=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598326712
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA B TOUCHTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2019
-----------------------------------------------------
Last Update Date | 12/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 302 CAMERON ST
-----------------------------------------------------
City | BRUSH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80723-2017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-842-2858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 302 CAMERON ST
-----------------------------------------------------
City | BRUSH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80723-2017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-842-2858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 35221
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 00206334
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------