1417261371 NPI number — BROOKE LUNDY FLEISCHMANN, DDS, PC

Table of content: (NPI 1417261371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417261371 NPI number — BROOKE LUNDY FLEISCHMANN, DDS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BROOKE LUNDY FLEISCHMANN, DDS, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417261371
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
88 LAMAR ST
Provider Second Line Business Mailing Address:
SUITE 108
Provider Business Mailing Address City Name:
BROOMFIELD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80020-2498
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-466-7300
Provider Business Mailing Address Fax Number:
303-466-0602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
88 LAMAR ST
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
BROOMFIELD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80020-2498
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-466-7300
Provider Business Practice Location Address Fax Number:
303-466-0602
Provider Enumeration Date:
08/03/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FLEISCHMANN
Authorized Official First Name:
BROOKE
Authorized Official Middle Name:
LUNDY
Authorized Official Title or Position:
DENTIST/OWNER
Authorized Official Telephone Number:
720-887-0347

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  8458 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1811222482 . This is a "INDIVIDUAL NPI" identifier . This identifiers is of the category "OTHER".