Provider Demographics
NPI:1144395138
Name:BRATTON, DWIGHT M (DDS)
Entity Type:Individual
Prefix:
First Name:DWIGHT
Middle Name:M
Last Name:BRATTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SUNDOWN DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3218
Mailing Address - Country:US
Mailing Address - Phone:303-688-2655
Mailing Address - Fax:303-660-8357
Practice Address - Street 1:3626 E HIGHLANDS RANCH PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80126-7885
Practice Address - Country:US
Practice Address - Phone:303-471-0841
Practice Address - Fax:303-471-1706
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1041251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice