Brett Edward Amedro, D.D.S.

Dentist · Boulder, CO

Individual Active NPI

NPI number 1033473236

Practice location

3400 Penrose Pl Ste 105
Boulder, CO 80301-1809
Phone
(303) 449-3131
Fax
(303) 449-9487

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NPI record

NPI
1033473236
Entity type
Individual (Type 1)
Enumeration date
July 2, 2012
Last updated
November 16, 2023
Certified
November 16, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 00201917 CO
General Practice Dentistry 1223G0001X 00201917 CO
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Amedro

Brett Edward Amedro, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3400 Penrose Pl Ste 105, Boulder, CO 80301-1809. The NPI number 1033473236 was assigned on July 2, 2012 and the record was last updated on November 16, 2023.

Dr. Amedro lists 2 licenses in the registry: #00201917 (CO) for Dentist; #00201917 (CO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brett Edward Amedro, D.D.S.?

The NPI number is 1033473236.

What is the phone number of Dr. Amedro?

The phone number listed for the practice location is (303) 449-3131.

Where is Dr. Amedro located?

3400 Penrose Pl Ste 105, Boulder, CO 80301-1809.

What is the taxonomy code for Dr. Amedro?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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