Provider Demographics
NPI:1629870811
Name:COMFORT DENTAL CASTLE ROCK LLP
Entity type:Organization
Organization Name:COMFORT DENTAL CASTLE ROCK LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TAM
Authorized Official - Middle Name:
Authorized Official - Last Name:THAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-299-3697
Mailing Address - Street 1:188 FOUNDERS PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7519
Mailing Address - Country:US
Mailing Address - Phone:303-647-8988
Mailing Address - Fax:303-647-8977
Practice Address - Street 1:188 FOUNDERS PKWY STE A
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7519
Practice Address - Country:US
Practice Address - Phone:303-647-8988
Practice Address - Fax:303-647-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty