Joanna M. Douglass
Pediatric Dentist
13123 E 16th Ave # B-240
Aurora
, Colorado 80045-7106
Joanna M. Douglass
Pediatric Dentist
13123 E 16th Ave # B-240
Aurora
, Colorado 80045-7106
(860) 712-7311
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Joanna M. Douglass
- 7327 S Platte River Pkwy Unit 205
- Littleton, CO
- Zip : 80120-2996
- Phone : (860) 712-7311
Second Address
- Joanna M. Douglass
- 13123 E 16th Ave # B-240
- Aurora, CO
- Zip : 80045-7106
- Phone : (720) 777-6788
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | AD.0000520 | CO |
| N | 1223P0221X | Pediatric Dentist | P07768 | CT |
National Provider Identifier
| NPI | 1043375629 |
|---|---|
| Provider Name | Joanna M. Douglass |
| First Address | Littleton, CO 80120-2996 |
| Second Address | Aurora, CO 80045-7106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2006 |
| Last Update Date | 29/11/2018 |
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.