Healthcare Provider Details

I. General information

NPI: 1255212395
Provider Name (Legal Business Name): JOANNE BANCROFT DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 TURNPIKE DR UNIT 200
WESTMINSTER CO
80031-7042
US

IV. Provider business mailing address

8501 TURNPIKE DR UNIT 200
WESTMINSTER CO
80031-7042
US

V. Phone/Fax

Practice location:
  • Phone: 720-410-5460
  • Fax:
Mailing address:
  • Phone: 720-410-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code125Q00000X
TaxonomyOral Medicine Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JOANNE BANCROFT
Title or Position: OWNER
Credential:
Phone: 720-410-5460