Jeffrey James Sprout, DDS

NPI #1922124049 in Evergreen, Colorado

Provider Information

NPI Number: 1922124049
Entity Type: Individual
Name: Jeffrey James Sprout, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 31226 LEWIS RIDGE RD
City: Evergreen
State: Colorado
ZIP Code: 80439-7998
Phone: (303) 674-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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