Individual
JESSICA YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
5839 ALTON ST, DENVER, CO 80238-3972
(858) 926-6764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00206054
CO
1223P0221X
Pediatric Dentistry
Primary
DEN.00206054
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
10/28/2022
Last updated
05/19/2026
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