Individual
DR. JAYASHREE SWETHA NAKKANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8990 WASHINGTON ST, THORNTON, CO 80229-4537
(720) 929-1655
(720) 565-4129
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10527
CT
1223P0221X
Pediatric Dentistry
Primary
DEN.00010660
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032174
—
CT
05
—
44150733
—
CO
Enumeration date
08/18/2010
Last updated
05/14/2021
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