Individual
JERAMIAH PAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18068 W 92ND LN UNIT 100, ARVADA, CO 80007-8162
(720) 635-2684
Mailing address
9415 JOYCE WAY, ARVADA, CO 80007-7501
(720) 635-2684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202876
CO
1223G0001X
General Practice Dentistry
202876
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
202876
CO
Other
Enumeration date
06/22/2016
Last updated
02/08/2021
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