Provider Demographics
NPI:1164098059
Name:TURNER, MADISON SAGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:SAGE
Last Name:TURNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16316 WORTHING WAY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-1687
Mailing Address - Country:US
Mailing Address - Phone:276-619-1345
Mailing Address - Fax:
Practice Address - Street 1:12191 W 64TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4030
Practice Address - Country:US
Practice Address - Phone:303-425-6022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002047261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice