Jessica Luree Klabak
Dentist - General Practice
21 Kings Crossing Ste 107
Winter Park
, Colorado 80482-1266
Jessica Luree Klabak
Dentist - General Practice
21 Kings Crossing Ste 107
Winter Park
, Colorado 80482-1266
(970) 726-5556
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Jessica Luree Klabak
- Po Box 1266
- Winter Park, CO
- Zip : 80482-1266
- Phone : (970) 726-5556
Second Address
- Jessica Luree Klabak
- 21 Kings Crossing Ste 107
- Winter Park, CO
- Zip : 80482-1266
- Phone : (970) 726-5556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 10756 | CO |
| Y | 213EG0000X | General Practice | 10756 | CO |
National Provider Identifier
| NPI | 1003162033 |
|---|---|
| Provider Name | Jessica Luree Klabak |
| First Address | Winter Park, CO 80482-1266 |
| Second Address | Winter Park, CO 80482-1266 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2012 |
| Last Update Date | 27/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.