Provider Demographics
NPI:1720371404
Name:HIRSBRUNNER, BRIAN JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JAMES
Last Name:HIRSBRUNNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:BJH
Other - Middle Name:DMD
Other - Last Name:PROF. LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13691 COLORADO BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7068
Mailing Address - Country:US
Mailing Address - Phone:303-920-2273
Mailing Address - Fax:303-280-4533
Practice Address - Street 1:13691 COLORADO BLVD STE 109
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-7068
Practice Address - Country:US
Practice Address - Phone:303-920-2273
Practice Address - Fax:303-280-4533
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-10437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist