Provider Demographics
NPI:1659584894
Name:MICHALSON, JAYME JEAN (DDS)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:JEAN
Last Name:MICHALSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 SOUTHPARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5728
Mailing Address - Country:US
Mailing Address - Phone:303-347-1000
Mailing Address - Fax:720-726-2950
Practice Address - Street 1:721 SOUTHPARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5728
Practice Address - Country:US
Practice Address - Phone:303-347-1000
Practice Address - Fax:720-726-2950
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO93611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry