Provider Demographics
NPI:1295186708
Name:J AND J LLC
Entity Type:Organization
Organization Name:J AND J LLC
Other - Org Name:COMFORT DENTAL ORAL SURGERY NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:GREGG
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-865-7550
Mailing Address - Street 1:8700 W 101ST AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3978
Mailing Address - Country:US
Mailing Address - Phone:303-865-7550
Mailing Address - Fax:303-865-7551
Practice Address - Street 1:8700 W 101ST AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-3978
Practice Address - Country:US
Practice Address - Phone:303-865-7550
Practice Address - Fax:303-865-7551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty