Provider Demographics
NPI:1376755447
Name:THOMAS L MUNHOLLAND DDS PC
Entity Type:Organization
Organization Name:THOMAS L MUNHOLLAND DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUNHOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-680-4200
Mailing Address - Street 1:18860 E HAMPDEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3504
Mailing Address - Country:US
Mailing Address - Phone:303-699-3520
Mailing Address - Fax:
Practice Address - Street 1:18860 E HAMPDEN AVENUE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3504
Practice Address - Country:US
Practice Address - Phone:303-699-3520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104765261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental