Jackson Creek Dental Care, P.c.

NPI #1013163351 in Monument, Colorado

Provider Information

NPI Number
1013163351
Entity Type
Organization
Organization Name
Jackson Creek Dental Care, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTALONE PARTNERS, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 18, 2008
Last Updated
Mar 20, 2018

Practice Location

Address
15854 JACKSON CREEK PKWY
Address 2
SUITE 140
ZIP Code
80132-8663
Phone
(719) 302-2200

Authorized Official

Name
RACHEL NITTINGER
Title
MANAGER CREDENTIALING3
Phone
(972) 755-0816

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - EndodonticsEndodontics
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - PeriodonticsPeriodontics
Dentist - ProsthodonticsProsthodontics
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - General PracticeGeneral Practice

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