Provider Demographics
NPI:1851366504
Name:BURGAR, BRANDON STREET (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:STREET
Last Name:BURGAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 BUTTONHILL CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-4421
Mailing Address - Country:US
Mailing Address - Phone:303-795-6444
Mailing Address - Fax:
Practice Address - Street 1:8340 SANGRE DE CRISTO RD
Practice Address - Street 2:102
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:303-795-6444
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice