Provider Demographics
NPI:1053884270
Name:LTHAWS LLC
Entity type:Organization
Organization Name:LTHAWS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:TRAVIS
Authorized Official - Last Name:HAWS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-688-3800
Mailing Address - Street 1:858 W HAPPY CANYON RD STE 135
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3916
Mailing Address - Country:US
Mailing Address - Phone:303-688-3800
Mailing Address - Fax:303-688-3999
Practice Address - Street 1:858 W HAPPY CANYON RD STE 135
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3916
Practice Address - Country:US
Practice Address - Phone:303-688-3800
Practice Address - Fax:303-688-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty