Bear Creek Dental

LBN: Bear Creek Dental
Bear Creek Dental is an health care organization with primary practice located at 1430 S 21St St Suite 200, Colorado Springs CO 80904-4225. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bear Creek Dental can be contacted via phone (719) 633-2828, or through Mastin, Jessie Bryan via phone (719) 633-2828.

Contact Information

Primary practice address
1430 S 21St St Suite 200 Colorado Springs CO 80904-4225
Phone: (719) 633-2828
Fax: (719) 633-7461
Website:
Map and Directions
Authorized official contact:
Name: Mastin, Jessie Bryan Doctor of Dental Surgery (DDS)
Phone: (719) 633-2828

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7300 Colorado

Profile Details

NPI number 1275915142
LBN Legal business name Bear Creek Dental
DBA Doing business as
Authorized official Mastin, Jessie Bryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2015
Last updated Jun 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275915142 NPPES
Colorado Other 1992871909 INDIVIDUAL NPI

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