BRUSH DENTAL HYGIENE NPI 1760670186

NPI Information

NPI: 1760670186
Provider Name: BRUSH DENTAL HYGIENE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
412 EDISON ST
BRUSH, CO
ZIP 80723
Phone: (970) 842-0220
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BRUSH DENTAL HYGIENE is a dental clinic center in Brush, CO. BRUSH DENTAL HYGIENE NPI is 1760670186. The provider is registered as an organization entity type.

The provider's business location address is:

412 EDISON ST
BRUSH, CO
ZIP 80723-130
Phone: (970) 842-0220
Fax: (970) 842-0224

The provider's authorized official is Terri Ann Morreale .
The authorized official title is Owner and has the following contact phone number (970) 842-0220.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	904552	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01335537	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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