Provider Demographics
NPI:1629572243
Name:MICHAEL J. SAXTON, DMD, LLC
Entity Type:Organization
Organization Name:MICHAEL J. SAXTON, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:720-318-4172
Mailing Address - Street 1:894 S LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-8917
Mailing Address - Country:US
Mailing Address - Phone:720-318-4172
Mailing Address - Fax:
Practice Address - Street 1:18925 BASE CAMP RD
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-3414
Practice Address - Country:US
Practice Address - Phone:720-418-4172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202274261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental