MEDICARE: BRODIE DIANE DILGES

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	124Q00000X	Dental Hygienist	002027199	CO

General Provider Information

NPI Number	:	1407784549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRODIE DIANE DILGES

Provider Business Mailing Address
First Line	:	10302 BENTWOOD CT
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-7869
Country	:	US
Telephone Number	:	720-708-7662
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E HAMPDEN AVE
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2795
Country	:	US
Telephone Number	:	303-385-0808
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ BRODIE DIANE DILGES ” Practice Location

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