Jake Taylor Hendrickson

Dental Assistant · Fort Carson, CO

Individual Active NPI

NPI number 1235753344

Practice location

1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603
Phone
(719) 526-5537

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NPI record

NPI
1235753344
Entity type
Individual (Type 1)
Enumeration date
June 4, 2020
Last updated
June 4, 2020
Certified
June 4, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dental Assistant Primary 126800000X — —

About Jake Hendrickson

Jake Taylor Hendrickson is a healthcare provider registered in the NPI registry with the primary taxonomy Dental Assistant (code 126800000X). The practice location is 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603. The NPI number 1235753344 was assigned on June 4, 2020 and the record was last updated on June 4, 2020.

Frequently asked questions

What is the NPI number of Jake Taylor Hendrickson?

The NPI number is 1235753344.

What is the phone number of Jake Hendrickson?

The phone number listed for the practice location is (719) 526-5537.

Where is Jake Hendrickson located?

1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603.

What is the taxonomy code for Jake Hendrickson?

The primary taxonomy code is 126800000X – Dental Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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