BRETT JESSEN NPI 1104285543

NPI Information

  • NPI: 1104285543
  • Provider Name: BRETT JESSEN
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 10TH MEDICAL GROUP
    4102 PINION DRIVE
    USAF ACADEMY, CO
    ZIP 80840
  • Phone: (801) 721-6846

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NPI Details

Brett Jessen is a periodontics dentist in Usaf Academy, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Brett Jessen NPI is 1104285543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10TH MEDICAL GROUP
4102 PINION DRIVE
USAF ACADEMY, CO
ZIP 80840
Phone: (801) 721-6846

The enumeration date for this NPI number is 2/13/2016 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsDEN.00205787COLORADOYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3390200000XStudent in an Organized Health Care Education/Training ProgramDEN.00205787COLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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