Healthcare Provider Details

I. General information

NPI: 1154835528
Provider Name (Legal Business Name): JEFFREY W. STEARNS, D.M.D., M.D
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 S 18TH AVE
BRIGHTON CO
80601-2401
US

IV. Provider business mailing address

27 S 18TH AVE
BRIGHTON CO
80601-2401
US

V. Phone/Fax

Practice location:
  • Phone: 303-637-0850
  • Fax: 303-637-0848
Mailing address:
  • Phone: 303-637-0850
  • Fax: 303-637-0848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number9091
License Number StateCO

VIII. Authorized Official

Name: MS. JEFFREY STEARNS
Title or Position: OWNER
Credential: DMD, MD
Phone: 303-429-4800