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Contact Information

BRAD BURTWISTLE DDS, PC
325 2ND ST STE A
MONUMENT, CO80132-7935
 Phone: 719-481-4949
 Fax: 719-481-4989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Assistant

126800000X
 

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for BRAD BURTWISTLE DDS PC · (Female)

NPI # 1558774521
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2014
Last updated 06/08/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 202045
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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