Provider Demographics
NPI:1740492768
Name:JAMINSKA, JOANNA (DMD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:JAMINSKA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9104 ARGENTINE PASS TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-7018
Mailing Address - Country:US
Mailing Address - Phone:781-539-2046
Mailing Address - Fax:
Practice Address - Street 1:220 FALCON PKWY
Practice Address - Street 2:SCHRIEVER SFB
Practice Address - City:SCHRIEVER SFB
Practice Address - State:CO
Practice Address - Zip Code:80912-2104
Practice Address - Country:US
Practice Address - Phone:719-567-5467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0361841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice