Cameron W Birch, DDS
Individual provider Active NPI General Practice Dentistry · Brush, CO
NPI 1326275751 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1326275751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10464 (CO)
- Practice address
- 302 Cameron St
Brush, CO 80723-2017 - Phone
- (970) 842-2858
- Fax
- (970) 842-0691
- NPI assigned
- Jun 11, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 10464 | CO | MD | Licensed Practical Nurse |
| 24680 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush Family Dentistry PC | Past | Accepting new patients | |
| Brush Family Dentistry, PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10464 | CO | Yes |
| General Practice Dentistry | 1223G0001X | 24680 | TX |
Addresses
Primary practice location
302 Cameron St
Brush, CO 80723-2017
Mailing address
302 Cameron St
Brush, CO 80723-2017
Phone (970) 842-2858
Other providers in Brush, CO
- Banner Health Physicians Colorado LLC
- Banner Hospital Based Physicians Colorado LLC
- Banner Mountain Vista Orthopaedic Medical Clinic
- Suzanne R Becker
- Jennifer Corrine Binnendyk
- Sandra Jane Boone
- Allison C Brooks
- Brunner Enterprises Inc
- Brunner Enterprises Inc
- Benjamin Brunner
All providers in Brush, CO · General Practice 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 Jul 21, 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.