Kevin L Theroux in Lonetree - Orthodontics And Dentofacial Orthopedics
Kevin L Theroux - NPI 1902807977
Kevin L Theroux is a Orthodontics And Dentofacial Orthopedics in Lonetree, Colorado. Kevin L Theroux practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kevin L Theroux is 1902807977. The last update date is 2015-01-05.
Kevin L Theroux's current location address is 10450 Park Meadows Dr, Lonetree, Colorado. You can contact this provider via phone number 3037790565 and fax number 3037909376. The mailing address for Kevin L Theroux is 10450 Park Meadows Dr, Lonetree, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin L Theroux |
|---|---|
| Address | 10450 Park Meadows Dr, Lonetree, Colorado |
| Phone Number | 3037790565 |
| Fax Number | 3037909376 |
| Sole Proprietor | N |
| Credentials | D.D.S,M.S. |
NPI Number Detail
| NPI Number | 1902807977 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 10450 Park Meadows Dr |
|---|---|
| City | Lonetree |
| State | Colorado (CO) |
| Post Code | 801245529 |
| Phone Number | 3037790565 |
| Fax Number | 3037909376 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 7495 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identification code assigned to Kevin L Theroux by the Centers for Medicare & Medicaid Services?
The Kevin L Theroux has been issued the NPI (National Provider Identifier) 1902807977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin L Theroux?
The Kevin L Theroux is situated at 10450 Park Meadows Dr, in the city of Lonetree, state of CO, with the zip code 801245529.
What is Kevin L Theroux's area of expertise and its corresponding taxonomy classification?
The Kevin L Theroux's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1902807977 to Kevin L Theroux?
The Centers for Medicare & Medicaid Services assigned the 1902807977 to Kevin L Theroux on 2005-08-02.
As of what date were the Kevin L Theroux's details last updated?
The information pertaining to the Kevin L Theroux, including its address, specialty, and other details, was most recently updated on 2015-01-05.