# JEREMY GLICK DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 58 Peaks Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962227983
- **Authorized official:** DR. JEREMY GLICK DDS (DENTIST)
- **Authorized official phone:** (609) 412-3613

## Contact information

- **Practice address:** 3600 QUEBEC ST FL 2, DENVER, CO 80207-1609
- **Practice address phone:** (303) 355-1818
- **Mailing address:** 901 N SHERMAN ST APT 1414, DENVER, CO 80203-2923
- **Mailing address phone:** (609) 412-3613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/15/2024