Individual provider · Type 1 NPI
Thomas Blake Higgins
Pediatric Dentistry · Edwards, CO
NPI number
1720466915
Active
Practice location
105 Edwards Village Blvd Suite D-202, PO Box 41
Edwards, CO 81632
Mailing address
400 S Lafayette St Apt 607
Denver, CO 80209-2598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 00203482 (CO) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1720466915
Thomas Blake Higgins's National Provider Identifier is 1720466915, issued on May 8, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Edwards, CO. The record was last updated on Jul 16, 2024.