NPI 1295931418 · live from the CMS NPI Registry
Boone Brewer, D.D.S.
Dentist in Fort Collins, CO. National Provider Identifier 1295931418, active.
NPI record
| NPI | 1295931418 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2129 W Elizabeth St, Fort Collins, CO 80521 |
| Practice phone | 970-493-9116 |
| Mailing address | 1302 Belmont Rd, Grand Forks, ND 58201 |
| Enumerated | June 25, 2007 |
| Last updated | October 11, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 9415 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.