Organization
WHEAT RIDGE PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAXON DOWNING (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
6525 W 44TH AVE, WHEAT RIDGE, CO 80033-4735
(303) 421-8753
(303) 421-8857
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
(303) 421-8753
(303) 421-8857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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