Healthcare Provider Details

I. General information

NPI: 1285192591
Provider Name (Legal Business Name): BRINTON DENTAL SLEEP HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1079 SPACE CENTER DR UNIT 100
COLORADO SPRINGS CO
80915-3612
US

IV. Provider business mailing address

5763 WOLF VILLAGE DR
COLORADO SPRINGS CO
80924-2002
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-2211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SCOTT BRINTON
Title or Position: PRESIDENT
Credential: DDS
Phone: 719-574-2211