Provider Demographics
NPI:1912990813
Name:TOWNSEND, MICHAEL KEYES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KEYES
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 1:1778 AVERY WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3716
Mailing Address - Country:US
Mailing Address - Phone:850-830-4861
Mailing Address - Fax:
Practice Address - Street 1:2352 MEADOWS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8408
Practice Address - Country:US
Practice Address - Phone:850-830-4861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8564122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No122300000XDental ProvidersDentist