Provider Demographics
NPI:1578136552
Name:NEUMANN, JANICE C (RDH)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:C
Last Name:NEUMANN
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 1:37099 COUNTY ROAD Z
Mailing Address - Street 2:
Mailing Address - City:WRAY
Mailing Address - State:CO
Mailing Address - Zip Code:80758-9720
Mailing Address - Country:US
Mailing Address - Phone:970-567-9033
Mailing Address - Fax:
Practice Address - Street 1:37099 COUNTY ROAD Z
Practice Address - Street 2:
Practice Address - City:WRAY
Practice Address - State:CO
Practice Address - Zip Code:80758-9720
Practice Address - Country:US
Practice Address - Phone:970-567-9033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202082124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist