Healthcare Provider Details

I. General information

NPI: 1336246214
Provider Name (Legal Business Name): BRIAN SCOTT GURINSKY DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 18TH ST
DENVER CO
80202-1801
US

IV. Provider business mailing address

1141 18TH ST
DENVER CO
80202-1801
US

V. Phone/Fax

Practice location:
  • Phone: 303-296-8527
  • Fax: 303-296-6133
Mailing address:
  • Phone: 303-296-8527
  • Fax: 303-296-6133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number8652
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: