Provider Demographics
NPI:1336262179
Name:THURBER, ERNEST MARK (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:MARK
Last Name:THURBER
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:THURBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS MSD
Mailing Address - Street 1:26 W DRY CREEK CIRCLE
Mailing Address - Street 2:SUITE 540
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120
Mailing Address - Country:US
Mailing Address - Phone:303-798-6178
Mailing Address - Fax:303-798-6006
Practice Address - Street 1:26 W DRY CREEK CIRCLE
Practice Address - Street 2:SUITE 540
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-798-6178
Practice Address - Fax:303-798-6006
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1051041223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics