| Roy Theriot DDS PC | |
|
941 S Havana St Ste 200 Aurora CO 80012-3019 | |
| (303) 341-5313 | |
| (303) 363-1272 |
| Full Name | Roy Theriot DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 941 S Havana St Ste 200, Aurora, Colorado |
| Authorized Official Name and Position | Roy Perry Theriot (OWNER) |
| Authorized Official Contact | 3033415313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Theriot DDS PC 941 S Havana St Ste 200 Aurora CO 80012-3019 Ph: (303) 341-5313 | Roy Theriot DDS PC 941 S Havana St Ste 200 Aurora CO 80012-3019 Ph: (303) 341-5313 |
| NPI Number | 1215474382 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215474382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105385 (Colorado) | Primary |
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