Provider Demographics
NPI:1689824674
Name:ROJAS, JORGE IVAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:IVAN
Last Name:ROJAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 W 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4527
Mailing Address - Country:US
Mailing Address - Phone:954-609-2913
Mailing Address - Fax:
Practice Address - Street 1:905 W 124TH AVE STE 130
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-1718
Practice Address - Country:US
Practice Address - Phone:303-290-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002033711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice