Provider Demographics
NPI:1477665164
Name:TOMLINSON, KATHY J (DDS)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:J
Last Name:TOMLINSON
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 1:724 PEORIA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8231
Mailing Address - Country:US
Mailing Address - Phone:303-745-2052
Mailing Address - Fax:303-745-2189
Practice Address - Street 1:724 PEORIA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8231
Practice Address - Country:US
Practice Address - Phone:303-745-2052
Practice Address - Fax:303-745-2189
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17734240Medicaid