Provider Demographics
NPI:1912083668
Name:TOWNSEND, TIM FRANKLIN (DDS)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:FRANKLIN
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 ANGLERS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8840
Mailing Address - Country:US
Mailing Address - Phone:970-879-2290
Mailing Address - Fax:970-879-2293
Practice Address - Street 1:501 ANGLERS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8840
Practice Address - Country:US
Practice Address - Phone:970-879-2290
Practice Address - Fax:970-879-2293
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice