Jeffrey Cleo Bryson, D.D.S.
Individual provider Active NPI Pediatric Dentistry · Commerce City, CO
NPI 1295021673 · NPPES record last updated Jun 23, 2011
Key facts
- NPI
- 1295021673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 10466 (CO)
- Practice address
- 18335 E 103Rd Ave
Commerce City, CO 80022-3102 - Phone
- (303) 853-9955
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10466 | CO | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 10466 | CO | Yes |
Addresses
Primary practice location
18335 E 103Rd Ave
Commerce City, CO 80022-3102
Mailing address
8501 E Alameda Ave Unit 1835
Denver, CO 80230-6057
Phone (402) 517-5495
Other providers in Commerce City, CO
- Tiffany Brimberry
- Mary Brittain
- Kerry Lynn Brown
- Lynette Leann Brown
- Krystal Bruchs
- Nile Bunce
- Mackenzie Burk
- Janet Kay Burris
- Camacho Counseling LLC
- Lourdes Camacho
All providers in Commerce City, CO · Pediatric Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.