Provider Demographics
NPI:1538321401
Name:HUTCHISON, BRIAN L (DDS)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:L
Last Name:HUTCHISON
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 1:9760 GRANT ST
Mailing Address - Street 2:SUITE #100
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2176
Mailing Address - Country:US
Mailing Address - Phone:720-583-1425
Mailing Address - Fax:720-583-1429
Practice Address - Street 1:9760 GRANT ST
Practice Address - Street 2:SUITE #100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2176
Practice Address - Country:US
Practice Address - Phone:720-583-1425
Practice Address - Fax:720-583-1429
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9647122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist