DR. BRIAN C TALLEY (NPI# 1932123692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932123692 |
| Entity Type | Individual |
| Full Name | DR. BRIAN C TALLEY |
| Credential | D.M.D. |
| Practice Address |
Ute Mountain Ute Health Center Dental Clinic 232 Rustling Willow Street Towaoc CO 81334 |
| Mailing Address |
1970 E 3rd Ave Ste 110 Durango CO 81301-5025 |
| Practice Telephone | 9705654441 |
| Practice Fax Number | 9705654784 |
| Mailing Telephone | 9703750110 |
| Mailing Fax Number | 9703750111 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3223-02 | MS | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9728 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 90953614 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Jicarilla Service Unit Dental Clinic, 500 North Mundo Road, Dulce, NM 87528 | 5757597211 | 5757599292 |
| Southern Ute Dental Clinic, 109 Capote Drive, Ignacio, CO 81137 | 9705634719 | 9705630287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512856 | Brian Talley | Physical Therapist | 2810 W Us Highway 64 Ste 1, Murphy, NC 28906-4061 | 2019-05-01 |
| Street Address |
UTE MOUNTAIN UTE HEALTH CENTER DENTAL CLINIC 232 RUSTLING WILLOW STREET |
| City | TOWAOC |
| State | CO |
| Zip Code | 81334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760674659 | Ruby Doyle | Registered Nurse | Rustling Willow Rd Complex D, Towaoc, CO 81334 | 2007-08-14 |
| 1619186558 | Ute Mountatin Ute Health Center | Clinic/Center | 232 Rustling Willow Street, Comples D, Towaoc, CO 81334 | 2007-05-21 |
| 1508908351 | Ute Mountain Ute Public Safety | Ambulance | 101 North Bear Dance Rd, Towac, CO 81334 | 2007-02-12 |
| 1972670461 | Ute Mountain Ute Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 232 Rustling Willow, Towaoc, CO 81334 | 2006-11-29 |
| 1114027836 | Kristen Suzanne Anderson | Pharmacist | Rustling Willow Street, Complex D, Towaoc, CO 81334 | 2006-09-23 |
| 1689613580 | Trina Bancroft-begay | Family Medicine | Rustling Willow St. Complex D, Towaoc, CO 81334-0000 | 2006-06-06 |
| 1427098995 | Kimberly Vega | Family Medicine | Rustling Willow St. Complex D, Towaoc, CO 81334-0000 | 2006-06-06 |
| 1619305786 | Susan Fredrickson | Psychologist | 232 Rustling Willow St., Ute Mountain Ute Health Center, Towaoc, CO 81334-0049 | 2013-10-28 |
| 1437482841 | Roberto Baca | Registered Nurse | 232 Rustling Willow St Complex D, Towaoc, CO 81334-0049 | 2009-09-16 |
| 1134313232 | Indian Health Service | Clinic/Center | Rustling Willow, Complex D, Towaoc, CO 81334-0049 | 2007-08-31 |
| Find all providers in zip 81334 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRIAN C TALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.