MEDICARE: SCOTT J BUHRMANN DDS PC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1588944946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT J BUHRMANN DDS PC

Provider Business Mailing Address
First Line	:	655 SOUTHPOINTE CT
Second Line	:	SUITE 101
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3859
Country	:	US
Telephone Number	:	719-576-1355
Fax Number	:	719-576-5092

Provider Business Practice Location Address
First Line	:	655 SOUTHPOINTE CT
Second Line	:	SUITE 101
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3859
Country	:	US
Telephone Number	:	719-576-1355
Fax Number	:	719-576-5092

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT J BUHRMANN
Credential	:	DDS
Telephone Number	:	719-576-1355

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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