Jackson Creek Dental Care
LBN: Jackson Creek Dental Care, P.C.
Jackson Creek Dental Care is an health care organization with primary practice located at 15854 Jackson Creek Pkwy Suite 140, Monument CO 80132-8663. The organization recently has 7 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Jackson Creek Dental Care, P.C. can be contacted via phone (719) 302-2200, or through Nittinger, Rachel via phone (972) 755-0816.
Contact Information
Primary practice address
15854 Jackson Creek Pkwy Suite 140
Monument CO 80132-8663
Phone: (719) 302-2200
Fax: (216) 584-1360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | ||
Dental Providers / Endodontics | 1223E0200X | ||
Dental Providers / General Practice | 1223G0001X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | ||
Dental Providers / Periodontics | 1223P0300X | ||
Dental Providers / Prosthodontics | 1223P0700X | ||
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
NPI number | 1013163351 |
---|---|
LBN Legal business name | Jackson Creek Dental Care, P.C. |
DBA Doing business as | Jackson Creek Dental Care |
Authorized official | Nittinger, Rachel |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 18th, 2008 |
Last updated | Mar 20th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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