Organization
SOUTHERN COLORADO ORTHODONTICS, PLLC
Active
Organization
SOUTHERN COLORADO ORTHODONTICS, PLLC
Active
Other names
Southern Colorado Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE BRIMHALL DMD, MS (SOLE OWNER)
(435) 881-7110
Entity
Organization
Contact information
Practice address
3955 SANDALWOOD LN, PUEBLO, CO 81005-2586
(719) 564-3333
Mailing address
5200 LA RANDA DR, PUEBLO, CO 81005-3532
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00202177
CO
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up