Provider Demographics
NPI:1992888580
Name:BEHR, NOLAN RODNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:NOLAN
Middle Name:RODNEY
Last Name:BEHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5770 FLINTRIDGE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1881
Mailing Address - Country:US
Mailing Address - Phone:719-591-2050
Mailing Address - Fax:719-597-3211
Practice Address - Street 1:5770 FLINTRIDGE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1881
Practice Address - Country:US
Practice Address - Phone:719-591-2050
Practice Address - Fax:719-597-3211
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO67271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice