Brush Dental Inc

LBN: Brush Dental Inc
Brush Dental Inc is an health care organization with primary practice located at 412 Edison St , Brush CO 80723-2130. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Brush Dental Inc can be contacted via phone (970) 842-0220, or through Gonzales, Therese via phone (970) 842-0220.

Contact Information

Primary practice address
412 Edison St Brush CO 80723-2130
Phone: (970) 842-0220
Fax: (970) 842-0224
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Therese Registered Dental Hygienist (RDH)
Phone: (970) 842-0220

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 904552 Colorado
Ambulatory Health Care Facilities / Dental 261QD0000X 904552 Colorado

Profile Details

NPI number 1649628447
LBN Legal business name Brush Dental Inc
DBA Doing business as
Authorized official Gonzales, Therese Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2016
Last updated Feb 8th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649628447 NPPES
Colorado MEDICAID 01335537

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