Organization
BRIAN BUCCELLATO DDS, A PC
Active
Other names
Alpine Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BUCCELLATO D.D.S. (DENTIST/CEO)
(719) 536-0599
Entity
Organization
Contact information
Practice address
7730 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4075
(586) 531-8722
Mailing address
7730 N UNION BLVD STE 101, COLORADO SPRINGS, CO 80920-4075
(586) 531-8722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10225
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18373500
—
CO
Enumeration date
10/03/2016
Last updated
10/23/2025
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