Healthcare Provider Details

I. General information

NPI: 1508094186
Provider Name (Legal Business Name): JACQUELINE WEST DENNING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 09/25/2021
Certification Date: 09/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 E GIRARD AVE STE D140
DENVER CO
80231
US

IV. Provider business mailing address

3350 PEORIA ST STE 190
AURORA CO
80010-1484
US

V. Phone/Fax

Practice location:
  • Phone: 303-357-2540
  • Fax: 720-398-3490
Mailing address:
  • Phone: 303-365-4646
  • Fax: 720-638-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberDR.0060395
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01078032A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDR.0060395
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: