Provider Demographics
NPI:1215940820
Name:NOYES, JENNIFER M (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:NOYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:MELVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 CLERMONT ST
Mailing Address - Street 2:DVAMC DENTAL SERVICES 160
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220
Mailing Address - Country:US
Mailing Address - Phone:303-393-2823
Mailing Address - Fax:303-393-4632
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:DVAMC DENTAL SERVICES 160
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220
Practice Address - Country:US
Practice Address - Phone:303-393-2823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice