Provider Demographics
NPI:1407235146
Name:DEMBOWSKI, JEAN K (RDH)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:K
Last Name:DEMBOWSKI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9298 SPIRIT CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7850
Mailing Address - Country:US
Mailing Address - Phone:720-842-4455
Mailing Address - Fax:
Practice Address - Street 1:17167 CEDAR GULCH PKWY
Practice Address - Street 2:102
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4411
Practice Address - Country:US
Practice Address - Phone:303-814-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904184124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist