Provider Demographics
NPI:1851524920
Name:JUST, JAMIE JANELLE (DDS)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:JANELLE
Last Name:JUST
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 1:6825 E HAMPDEN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3000
Mailing Address - Country:US
Mailing Address - Phone:303-355-1645
Mailing Address - Fax:303-355-3657
Practice Address - Street 1:6825 E HAMPDEN AVE STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3000
Practice Address - Country:US
Practice Address - Phone:303-355-1645
Practice Address - Fax:303-355-3657
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist