Jackstien, Joshua

Jackstien, Joshua is an individual health care provider with primary practice located at 8301 E Prentice Ave Ste 215 , Greenwood Village CO 80111-2990. He recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as his primary health care specialty. Jackstien, Joshua can be contacted via phone (720) 606-4220.

Contact Information

Primary practice address
8301 E Prentice Ave Ste 215 Greenwood Village CO 80111-2990
Phone: (720) 606-4220
Fax: (720) 606-4221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X 8590166-9924 Utah
Dental Providers / Dentist Anesthesiologist 1223D0004X 00201856 Colorado

Profile Details

NPI number 1003173576
LBN Legal business name Jackstien, Joshua
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003173576 NPPES
Colorado MEDICAID 13430734

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