NPI 1487029112 · live from the CMS NPI Registry
Brandon Angus, DDS
Dentist, General Practice in Estes Park, CO. National Provider Identifier 1487029112, active.
NPI record
| NPI | 1487029112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 131 Stanley Ave Ste 201, Estes Park, CO 80517 |
| Practice phone | 720-220-1161 |
| Enumerated | December 7, 2015 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 10069548-9922 (UT) |
| Dentist, General Practice primary | 1223G0001X | 202706 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.