Breckenridge Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRECKENRIDGE FAMILY DENTAL PLLC

Practice address

400 N Park Ave
Suite 12
Breckenridge, CO 80424

Phone

(970) 453-4585

Fax

(970) 513-0494

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Gregory M Jungman, DDS

Title

Owner Dentist

Phone

(970) 453-4585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Lindauer, DDS

  • General Practice Dentistry
  • Breckenridge, CO
  • NPI 1689113912
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1386790855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8737",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-4585",
            "fax_number": "970-513-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE",
            "address_2": "SUITE 12",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-4585",
            "fax_number": "970-513-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKENRIDGE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "JUNGMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "970-453-4585",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Blacklock, M.A., L.P.C.
• Ernestine Tina Blake, LMT
• Blue Skies Behavioral Group LLC
• Joshua Williams Boudar, DC
• Breckenridge Acupuncture LLC
• Breckenridge Medical Clinic, LLC
• Breckenridge Physical Therapy
• Breckenridge Rehabilitation Specialists LLC
• Breckenridge Signature Dental PLLC
• Nicholas Brown

• General Practice Dentistry in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.