Healthcare Provider Details

I. General information

NPI: 1902910698
Provider Name (Legal Business Name): BRIGETTE DENNING P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5657 S HIMALAYA ST SUITE 100
CENTENNIAL CO
80015-5307
US

IV. Provider business mailing address

5657 S HIMALAYA ST SUITE 100
CENTENNIAL CO
80015-5307
US

V. Phone/Fax

Practice location:
  • Phone: 303-699-6200
  • Fax: 720-870-0242
Mailing address:
  • Phone: 303-699-6200
  • Fax: 720-870-0242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2108
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: