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BRAD BURTWISTLE DDS PC NPI 1558774521


NPI Information

NPI: 1558774521
Provider Name: BRAD BURTWISTLE DDS, PC

Doing Business As: MONUMENT FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
325 2ND ST STE A
MONUMENT, CO
ZIP 80132
Phone: (719) 481-4949
Get Directions

BRAD BURTWISTLE DDS, PC is a general practice dentist in Monument, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRAD BURTWISTLE DDS, PC NPI is 1558774521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Monument Family Dentistry.

The provider's business location address is:

325 2ND ST STE A
MONUMENT, CO
ZIP 80132-935
Phone: (719) 481-4949
Fax: (719) 481-4989

The provider's authorized official is Brad Burtwistle .
The authorized official title is President and has the following contact phone number (719) 481-4949.

The enumeration date for this NPI number is 6/8/2014 and was last updated on 6/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental HygienistNo
2126800000XDental AssistantNo
31223G0001XDentistGeneral Practice202045COLORADOYes

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: 4/28/2024

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