MEDICARE: JORGE ROJAS DDS PLLC

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	261QD0000X	Dental Clinic/Center
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1851938872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE ROJAS DDS PLLC

Provider Business Mailing Address
First Line	:	905 W 124TH AVE STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-920-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 W 124TH AVE STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-290-4900
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. JORGE IVAN ROJAS
Credential	:	DDS
Telephone Number	:	954-609-2913

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	12/01/2023

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