MEDICARE: DR. JENNIFER S ZIPFEL DDS

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	8030	CO

General Provider Information

NPI Number	:	1750347175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER S ZIPFEL DDS

Provider Business Mailing Address
First Line	:	12945 E COLORADO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-5320
Country	:	US
Telephone Number	:	303-755-7704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1344 S CHAMBERS RD
Second Line	:	SUITE #202
City	:	AURORA
State	:	CO
Zip	:	80017-4096
Country	:	US
Telephone Number	:	303-283-8009
Fax Number	:	303-337-7809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	07/08/2007

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