Organization
OPEN AND AFFORDABLE DENTAL AT BRIGHTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON STOTT D.D.S. (OWNER)
(303) 644-5058
Entity
Organization
Contact information
Practice address
1790 E BRIDGE ST, BRIGHTON, CO 80601-1934
(303) 644-5058
Mailing address
1790 E BRIDGE ST, BRIGHTON, CO 80601-1934
(303) 644-5058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202024
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96407069
—
CO
Enumeration date
02/02/2016
Last updated
02/02/2016
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