Provider Demographics
NPI:1851815922
Name:HYER, JENNA CLAIRE (DDS, MS)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:CLAIRE
Last Name:HYER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 DEXTER ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3049
Mailing Address - Country:US
Mailing Address - Phone:406-270-5604
Mailing Address - Fax:
Practice Address - Street 1:2900 S PEORIA ST BLDG D
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5712
Practice Address - Country:US
Practice Address - Phone:406-270-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002042941223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics