Healthcare Provider Details
I. General information
NPI: 1699644591
Provider Name (Legal Business Name): WPO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 SUNDIAL DR STE A
WOODLAND PARK CO
80863-7769
US
IV. Provider business mailing address
101 SUNDIAL DR STE A
WOODLAND PARK CO
80863-7769
US
V. Phone/Fax
- Phone: 719-445-1224
- Fax: 719-597-9902
- Phone: 719-445-1224
- Fax: 719-597-9902
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JACOB
ZITTERKOPF
Title or Position: OWNER
Credential: DDS
Phone: 720-742-8026