Basic Information
| Provider Information | |||||||||
| NPI: | 1336669753 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIBBENS | ||||||||
| FirstName: | JAMESON | ||||||||
| MiddleName: | |||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7775 W 90TH DR | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800218623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9206803986 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 14807 W 64TH AVE UNIT C | ||||||||
| Address2: | |||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800070104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034564095 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2017 | ||||||||
| LastUpdateDate: | 06/27/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DEN.00203211 | CO | Y | Dental Providers | Dentist | General Practice |
No ID Information.