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BEAR CREEK DENTAL
NPI 1275915142
Dentist - General Practice in Colorado Springs, CO

Active since June 26, 2015
1430 S 21ST ST, SUITE 200, COLORADO SPRINGS, CO 80904(719) 633-2828(719) 633-7461 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bear Creek Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAR CREEK DENTAL (NPI 1275915142) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since June 2015. The organization lists Jessie Bryan Mastin, Owner, as its authorized official.

NPPES Registry Identity

NPI1275915142
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEAR CREEK DENTAL
Location Address1430 S 21ST ST, SUITE 200Colorado Springs, CO 80904-4225
Mailing Address1430 S 21st St, Suite 200Colorado Springs, CO 80904-4225 · (719) 633-2828 · Fax (719) 633-7461
Phone(719) 633-2828
Fax(719) 633-7461
Organization SubpartNo
Authorized OfficialJessie Bryan MastinOwner · (719) 633-2828
Enumeration DateJune 26, 2015
✔ NPI 1275915142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 7300
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1430 S 21ST ST, Colorado Springs, CO 80904
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Other Identifiers 1

Other1992871909CO · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS HIGGINBOTHAM
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1430 S 21ST ST, STE 101
COLORADO SPRINGS, CO 80904
El Paso County (719) 260-8190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bear Creek Dental's NPI number?

The NPI number for Bear Creek Dental is 1275915142. It was assigned to this organization in the NPPES registry on June 26, 2015.

Where is Bear Creek Dental located?

Bear Creek Dental is located at 1430 S 21st St Suite 200, Colorado Springs, CO 80904. The listed phone number is (719) 633-2828.

What is Bear Creek Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bear Creek Dental was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.