Amazing Smiles

Organization Active NPI Preferred Provider Organization · Westminster, CO

NPI 1215253992 · NPPES record last updated Apr 20, 2010

Key facts

NPI
1215253992
Entity type
Organization (NPI type 2)
Primary specialty
Preferred Provider Organization 305R00000X
License
9230 (CO)
Legal business name
AMAZING SMILES
Practice address
7236 Federal Blvd Unit 100
Westminster, CO 80030-4965
Phone
(303) 424-5439
Fax
(303) 427-5779
NPI assigned
Apr 20, 2010
Organization subpart
No

Authorized official

Name
Amy Melissa Jorgensen-Blackburn
Title
President/Owner
Phone
(303) 424-5439

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9230 CO Yes

Addresses

Primary practice location

7236 Federal Blvd Unit 100
Westminster, CO 80030-4965

Mailing address

7236 Federal Blvd Unit 100
Westminster, CO 80030-4965
Phone (303) 424-5439

Other providers in Westminster, CO

All providers in Westminster, CO · Preferred Provider Organization in Colorado

Sources for this page

Verify at the official NPI Registry.