Provider Demographics
NPI:1710544770
Name:CARLIN, JENNA LEANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:LEANNE
Last Name:CARLIN
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 1:7555 E HAMPDEN AVE STE 425
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4810
Mailing Address - Country:US
Mailing Address - Phone:303-773-1211
Mailing Address - Fax:
Practice Address - Street 1:7555 E HAMPDEN AVE STE 425
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4810
Practice Address - Country:US
Practice Address - Phone:661-993-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1050221223G0001X
CO00204545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice