Provider Demographics
NPI:1649561960
Name:TURNER, ELIZABETH REBECCA MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REBECCA MARIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5361 S GRAY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80123-5110
Mailing Address - Country:US
Mailing Address - Phone:207-337-3864
Mailing Address - Fax:
Practice Address - Street 1:3300 E 1ST AVE STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5806
Practice Address - Country:US
Practice Address - Phone:303-399-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
CODEN203832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program