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NPI 1700755519

NPI 1700755519 : BRIAN A FURGASON, DDS, PC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1700755519
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIAN A FURGASON, DDS, PC 
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Dates
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    Enumeration Date     |    10/30/2025
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    10881 W ASBURY AVE STE 100 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80227-1970
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    Country              |    US
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    Telephone            |    303-988-6938
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    Fax                  |    303-985-1146
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Provider Business Mailing Address
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    Address Line         |    10881 W ASBURY AVE STE 100 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80227-1970
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    Country              |    US
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    Telephone            |    303-988-6938
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    Fax                  |    303-985-1146
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BRIAN  FURGASON 
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    Credential           |    DDS
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    Telephone            |    303-988-6938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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