Provider Demographics
NPI:1689632267
Name:FLOWER, BRETT PHILLIP (DDS)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:PHILLIP
Last Name:FLOWER
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 1:145 S JOYCE ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6576
Mailing Address - Country:US
Mailing Address - Phone:303-271-1189
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR
Practice Address - Street 2:245
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2118
Practice Address - Country:US
Practice Address - Phone:303-422-3303
Practice Address - Fax:303-422-3871
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1063201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice