Provider Demographics
NPI:1750347175
Name:ZIPFEL, JENNIFER S (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:ZIPFEL
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 1:12945 E COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5320
Mailing Address - Country:US
Mailing Address - Phone:303-755-7704
Mailing Address - Fax:
Practice Address - Street 1:1344 S CHAMBERS RD
Practice Address - Street 2:SUITE #202
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4096
Practice Address - Country:US
Practice Address - Phone:303-283-8009
Practice Address - Fax:303-337-7809
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice