Brock Booton, DDS is a
Dentist based in Timnath, Colorado. Brock Booton is licensed to practice in Colorado (license number 202451) and his current practice location is
4650 Signal Tree Dr # A1800, Timnath, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 449-0306.
NPI number for Brock Booton is 1699194316 and his current mailing address is 4650 Signal Tree Dr # A1800, Timnath, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699194316.
Healthcare Provider's Profile
| Full Name | Brock Booton |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 4650 Signal Tree Dr # A1800, Timnath, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699194316
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 03/17/2026
Medical Identifiers
Medical identifiers for Brock Booton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699194316 | NPI | - | NPPES |
| 41031814 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 202451 (Colorado) | Primary |
| 1223G0001X | Dentist - General Practice | 84-1343242 (Colorado) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brock Booton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brock Booton, DDS 4650 Signal Tree Dr # A1800, Timnath, CO 80547-4908 Ph: (970) 449-0306 | Brock Booton, DDS 4650 Signal Tree Dr # A1800, Timnath, CO 80547-4908 Ph: (970) 449-0306 |
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