Provider Demographics
NPI:1790989432
Name:LAMOREAUX, JAROM
Entity Type:Individual
Prefix:
First Name:JAROM
Middle Name:
Last Name:LAMOREAUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3996 RED CEDAR DR
Mailing Address - Street 2:STE A-3
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-8065
Mailing Address - Country:US
Mailing Address - Phone:303-470-9696
Mailing Address - Fax:303-470-9201
Practice Address - Street 1:3996 RED CEDAR DR
Practice Address - Street 2:STE A-3
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-8065
Practice Address - Country:US
Practice Address - Phone:303-470-9696
Practice Address - Fax:303-470-9201
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO93351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice