NPI 1215253992

Amazing Smiles

Organisation Preferred Provider Organization Westminster, CO

Practice location

Address: 7236 Federal Blvd Unit 100, Westminster, CO 80030-4965
Phone: (303) 424-5439
Fax: (303) 427-5779

Authorised official

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

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 9230 (CO)

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Registry record

NPI: 1215253992
Entity type: Organization
NPI issued: 20 Apr 2010
Record last updated: 20 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.