Provider Demographics
NPI:1396056636
Name:JOZSA, AMANDA (DDS)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:JOZSA
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 1:3960 RIVER POINT PKWY UNIT A
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:CO
Mailing Address - Zip Code:80110-3315
Mailing Address - Country:US
Mailing Address - Phone:303-781-2340
Mailing Address - Fax:
Practice Address - Street 1:3960 RIVER POINT PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:CO
Practice Address - Zip Code:80110-3315
Practice Address - Country:US
Practice Address - Phone:303-781-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN-10230122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist