Healthcare Provider Details

I. General information

NPI: 1447173448
Provider Name (Legal Business Name): JASON RANDY ZARGE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5127 E BRIDGE ST STE A
BRIGHTON CO
80601-8318
US

IV. Provider business mailing address

5127 E BRIDGE ST STE A
BRIGHTON CO
80601-8318
US

V. Phone/Fax

Practice location:
  • Phone: 720-473-6293
  • Fax: 720-477-3869
Mailing address:
  • Phone: 720-473-6293
  • Fax: 720-477-3869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00206731
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: