Provider Demographics
NPI:1467688655
Name:NOLAN R. BEHR, DDS, LLC
Entity Type:Organization
Organization Name:NOLAN R. BEHR, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NOLAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:719-591-2050
Mailing Address - Street 1:5770 FLINTRIDGE DR
Mailing Address - Street 2:SUITE #200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1881
Mailing Address - Country:US
Mailing Address - Phone:719-591-2050
Mailing Address - Fax:719-597-3211
Practice Address - Street 1:5770 FLINTRIDGE DR
Practice Address - Street 2:SUITE #200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1881
Practice Address - Country:US
Practice Address - Phone:719-591-2050
Practice Address - Fax:719-597-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO67271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty