Provider Demographics
NPI:1699157164
Name:MARKTHURBER DDS MSD PC
Entity type:Organization
Organization Name:MARKTHURBER DDS MSD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:THURBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD PC
Authorized Official - Phone:303-979-1211
Mailing Address - Street 1:26 W DRY CREEK CIR STE 540
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8066
Mailing Address - Country:US
Mailing Address - Phone:303-797-1211
Mailing Address - Fax:303-798-6006
Practice Address - Street 1:26 W DRY CREEK CIR STE 540
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8066
Practice Address - Country:US
Practice Address - Phone:303-797-1211
Practice Address - Fax:303-798-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty