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Brett Jessen
Student in an Organized Health Care Education/Training Program in Usaf Academy, Colorado
NPI 1104285543

Brett Jessen is a Student in an Organized Health Care Education/Training Program based in Usaf Academy, CO. Brett Jessen practices in Usaf Academy, CO. The NPI Number for Brett Jessen is 1104285543 and holds a License No. DEN.00205787 (Colorado).

The current practice location address for Brett Jessen is 10Th Medical Group, Usaf Academy, CO and can be reached out via phone at 801-721-6846.

Location: 10Th Medical Group, Usaf Academy, CO, 80840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104285543
Provider Name
Brett Jessen
Credential
Provider Entity Type
Individual
Gender
Male
Address
10Th Medical Group, Usaf Academy, CO, 80840
Phone Number
801-721-6846
Fax Number
Provider Enumeration Date
02/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10Th Medical Group
City
Usaf Academy
State
Colorado
Zip
80840
Phone Number
801-721-6846
Fax Number
person
Provider Business Mailing Address Details
Address
10Th Medical Group
City
Usaf Academy
State
Colorado
Zip
80840
Phone Number
801-721-6846
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DEN.00205787 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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