Healthcare Provider Details

I. General information

NPI: 1144395138
Provider Name (Legal Business Name): DWIGHT M. BRATTON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3626 E HIGHLANDS RANCH PKWY SUITE 107
LITTLETON CO
80126-7885
US

IV. Provider business mailing address

950 SUNDOWN DR
CASTLE ROCK CO
80104-3218
US

V. Phone/Fax

Practice location:
  • Phone: 303-471-0841
  • Fax: 303-471-1706
Mailing address:
  • Phone: 303-688-2655
  • Fax: 303-660-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number104125
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: