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General NPI Number Information
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NPI Number | 1174014963
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Entity Type | Organization
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Legal Business Name | O AND A DENTAL AND BRACES AT BRIGHTON PLLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1790 E BRIDGE ST
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City | BRIGHTON
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State | CO
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Zip | 80601-1934
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Country | US
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Telephone | 303-659-1064
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Fax | 303-659-1065
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Provider Business Mailing Address
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Address Line | 1790 E BRIDGE ST
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City | BRIGHTON
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State | CO
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Zip | 80601-1934
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Country | US
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Telephone | 303-659-1064
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Fax | 303-659-1065
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEREMY BARKOFF
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Credential | D.D.S.
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Telephone | 303-659-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00202024
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License Number State | CO
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