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General NPI Number Information
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NPI Number | 1629572243
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Entity Type | Organization
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Legal Business Name | MICHAEL J. SAXTON, DMD, LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 18925 BASE CAMP RD
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City | MONUMENT
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State | CO
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Zip | 80132-3414
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Country | US
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Telephone | 720-418-4172
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Fax |
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Provider Business Mailing Address
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Address Line | 894 S LINDSEY ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-8917
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Country | US
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Telephone | 720-318-4172
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHAEL JAMES SAXTON
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Credential | DMD
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Telephone | 720-318-4172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DEN.00202274
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License Number State | CO
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