Provider Demographics
NPI:1891957072
Name:ZENON, JOSHUA CARLTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CARLTON
Last Name:ZENON
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 1:3471 N SALIDA CT
Mailing Address - Street 2:UNIT 60
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5020
Mailing Address - Country:US
Mailing Address - Phone:303-307-8282
Mailing Address - Fax:303-307-8181
Practice Address - Street 1:3471 N SALIDA CT
Practice Address - Street 2:UNIT 60
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5020
Practice Address - Country:US
Practice Address - Phone:303-307-8282
Practice Address - Fax:303-307-8181
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice