Bridge Street Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8920 Issued in CO

Legal business name

BRIDGE STREET DENTAL, PLLC

Practice address

19 N 42ND Ave
Brighton, CO 80601-4351

Phone

(720) 583-1425

NPI assigned

Feb 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Travis Whiteley, DMD

Title

President

Phone

(801) 376-9484

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1306347182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N 42ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N 42ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014351",
            "telephone_number": "720-583-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE STREET DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "WHITELEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-376-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley Braun, LCSW
• Avery Elizabeth Breidenbach, RN
• Karen Yonne Bren, OTR
• Rachel Brich, FNP-C
• Bridge Street Counseling
• Angela Sabine Briggs, MT
• Bright Life Massage LLC
• Brighter Days Home Care Inc
• Brighton Center for Sleep Disorders LLC
• Brighton Co Homecare, LLC

• Dental Clinic/Center in Brighton, CO
• Providers in Brighton, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.