Provider Demographics
NPI:1831225499
Name:BEVIS, BRITTANY MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:MARIE
Last Name:BEVIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6979 S HOLLY CIR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ENGLEWOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-221-2250
Mailing Address - Fax:303-221-2251
Practice Address - Street 1:6979 S HOLLY CIR
Practice Address - Street 2:SUITE 230
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1577
Practice Address - Country:US
Practice Address - Phone:303-221-2250
Practice Address - Fax:303-221-2251
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO92011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice