Healthcare Provider Details

I. General information

NPI: 1851938872
Provider Name (Legal Business Name): JORGE ROJAS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W 124TH AVE STE 130
WESTMINSTER CO
80234-1718
US

IV. Provider business mailing address

905 W 124TH AVE STE 130
WESTMINSTER CO
80234-1718
US

V. Phone/Fax

Practice location:
  • Phone: 303-290-4900
  • Fax:
Mailing address:
  • Phone: 303-920-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE IVAN ROJAS
Title or Position: DOCTOR
Credential: DDS
Phone: 954-609-2913