MEDICARE: DR. BRIAN TROMMETER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	10541	CO
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	10541	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043649361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN TROMMETER DDS

Provider Business Mailing Address
First Line	:	8354 E NORTHFIELD BLVD UNIT 2730
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3185
Country	:	US
Telephone Number	:	720-420-4320
Fax Number	:

Provider Business Practice Location Address
First Line	:	8354 E NORTHFIELD BLVD
Second Line	:	#2730
City	:	DENVER
State	:	CO
Zip	:	80238-3131
Country	:	US
Telephone Number	:	720-420-4320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	08/25/2021

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