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NPI Code Detail

MEDICARE: JANNAE CATHERINE MEHAFFEY DDS

MEDICARE: JANNAE CATHERINE MEHAFFEY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDEN.00206664CO

General Provider Information

NPI Number : 1578493540
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANNAE CATHERINE MEHAFFEY DDS
Provider Business Mailing Address
First Line : 1790 E BRIDGE ST
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-1934
Country : US
Telephone Number : 303-659-1064
Fax Number :
Provider Business Practice Location Address
First Line : 1790 E BRIDGE ST
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-1934
Country : US
Telephone Number : 303-659-1064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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