Brandon Angus, DDS

Individual provider Active NPI General Practice Dentistry · Estes Park, CO

NPI 1487029112 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1487029112
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
202706 (CO)
Practice address
131 Stanley Ave Ste 201
Estes Park, CO 80517
Phone
(720) 220-1161
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
202706COMDGeneral Practice Dentistry
10069548-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel W. West, DMD, PC General Practice Past
since Feb 26, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10069548-9922 UT
General Practice Dentistry 1223G0001X 202706 CO Yes

Addresses

Primary practice location

131 Stanley Ave Ste 201
Estes Park, CO 80517

Mailing address

131 Stanley Ave Ste 201
Estes Park, CO 80517-6356
Phone (720) 220-1161

Other practice location 1

597 W 5300 S
Murray, UT 84123-5647
Phone (801) 266-3000

Other practice location 2

131 Stanley Ave Ste 201
Estes Park, CO 80517
Phone (720) 220-1161

Other providers in Estes Park, CO

All providers in Estes Park, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.