MEDICARE: JENNIFER L. RANKIN, D.D.S., MICHAEL G. MINGLE, D.D.S.,P.C.

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
1	1223G0001X	General Practice Dentistry	7126 & 7144	CO

General Provider Information

NPI Number	:	1487647327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNIFER L. RANKIN, D.D.S., MICHAEL G. MINGLE, D.D.S.,P.C.

Provider Business Mailing Address
First Line	:	5492 S PARKER RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-1136
Country	:	US
Telephone Number	:	303-690-4000
Fax Number	:	303-672-6875

Provider Business Practice Location Address
First Line	:	5492 S PARKER RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-1136
Country	:	US
Telephone Number	:	303-690-4000
Fax Number	:	303-672-6875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL GORDON MINGLE
Credential	:	D.D.S.
Telephone Number	:	303-690-4000

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	08/22/2020

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