Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT JESSEN
ActiveBRETT JESSEN is a Periodontology healthcare provider located in USAF ACADEMY, Colorado. NPI 1104285543 is currently active in the NPPES registry. Verify at CMS.
Periodontology · USAF ACADEMY, CO
Registration Details
- NPI Number
- 1104285543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2016 (10.539761479663 yrs)
- Last Updated
- Oct 17, 2023
- Licenses
-
DEN.00205787 (CO)DEN.00205787 (CO)
Practice Information
- Address
-
10TH MEDICAL GROUP4102 PINION DRIVEUSAF ACADEMY, CO, 80840Browse CO providers · Browse ZIP 80840
- Phone
- 8017216846
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.