Provider Demographics
NPI:1487647327
Name:JENNIFER L. RANKIN, D.D.S., MICHAEL G. MINGLE, D.D.S.,P.C.
Entity Type:Organization
Organization Name:JENNIFER L. RANKIN, D.D.S., MICHAEL G. MINGLE, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:MINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-690-4000
Mailing Address - Street 1:5492 S PARKER RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1136
Mailing Address - Country:US
Mailing Address - Phone:303-690-4000
Mailing Address - Fax:303-672-6875
Practice Address - Street 1:5492 S PARKER RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1136
Practice Address - Country:US
Practice Address - Phone:303-690-4000
Practice Address - Fax:303-672-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7126 & 71441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty