Doctor Name: | DR. JEFFREY CLEO BRYSON |
NPI Number: | 1295021673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 10466 |
Business Practice Address: | 18335 E 103rd Ave Commerce City, CO - 800223102 |
Business Phone Number: | 3038539955 |
Business Fax Number: | |
Mailing Address: | 8501 E Alameda Ave Unit 1835, DENVER |
State: | CO |
Postal Code: | 802306057 |
Phone Number: | 4025175495 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 10466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |