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NPI Code Detail

MEDICARE: HMJ PC

MEDICARE: HMJ PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7249CO

General Provider Information

NPI Number : 1336544642
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMJ PC
Provider Business Mailing Address
First Line : 3215 W 112TH CT
Second Line :
City : WESTMINSTER
State : CO
Zip : 80031-7199
Country : US
Telephone Number : 303-466-7439
Fax Number :
Provider Business Practice Location Address
First Line : 230 PARK AVE
Second Line :
City : FORT LUPTON
State : CO
Zip : 80621-1928
Country : US
Telephone Number : 303-857-2258
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : DR. H JEBRIL
Credential : DDS
Telephone Number : 303-466-7438
Provider Enumeration Date : 10/29/2014
Last Update Date : 10/29/2014

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Directions to “HMJ PC ” Practice Location

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