Provider Demographics
NPI:1558525394
Name:SVOBODA, BRIAN J (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:J
Last Name:SVOBODA
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7889 SO. LINCOLN CT
Mailing Address - Street 2:#202
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122
Mailing Address - Country:US
Mailing Address - Phone:303-798-4967
Mailing Address - Fax:719-467-9324
Practice Address - Street 1:7889 SO. LINCOLN CT
Practice Address - Street 2:#202
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122
Practice Address - Country:US
Practice Address - Phone:920-979-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist