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JERRY THALKEN DDS NPI 1932316841


NPI Information

NPI: 1932316841
Provider Name: JERRY THALKEN, DDS

Doing Business As: RAY E LACK, DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5130 W 80TH AVE
BLDG A STE 200
WESTMINSTER, CO
ZIP 80030
Phone: (303) 429-1426
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JERRY THALKEN, DDS is a general practice dentist in Westminster, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JERRY THALKEN, DDS NPI is 1932316841. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ray E Lack, Dds.

The provider's business location address is:

5130 W 80TH AVE
BLDG A STE 200
WESTMINSTER, CO
ZIP 80030-450
Phone: (303) 429-1426

The provider's authorized official is Ryan Borer .
The authorized official title is Consultant and has the following contact phone number (603) 721-1735.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice8982COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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