Individual
DR. BRETT T NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 EAST 1ST AVENUE, SUITE 202, BROOMFIELD, CO 80020
(303) 466-4646
Mailing address
340 EAST 1ST AVENUE, SUITE 202, BROOMFIELD, CO 80020
(303) 466-4646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00203227
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000173385
—
CO
Enumeration date
06/28/2017
Last updated
07/31/2019
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