Healthcare Provider Details

I. General information

NPI: 1295666014
Provider Name (Legal Business Name): BRIDGER CASH COWLEY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 MESA VIEW DR
DELTA CO
81416-2400
US

IV. Provider business mailing address

1114 PARK RIDGE CT
DELTA CO
81416-2377
US

V. Phone/Fax

Practice location:
  • Phone: 970-874-8227
  • Fax:
Mailing address:
  • Phone: 970-985-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00206690
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: