Dr. Jennifer Jill Sibo, D.D.S.
Dentist, General Practice in Castle Rock, CO. Individual provider (NPI-1).
NPI number1710073549
StatusActive
Last updated in NPPESApr 24, 2019
Details
- NPI
- 1710073549
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Jill Sibo
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2006
- Last updated
- Apr 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9010 | CO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 9010 | CO |
Practice location
4344 Woodlands BlvdSuite 140
Castle Rock, CO 80104
Phone 303-660-9333
Mailing address
4344 Woodlands Blvd Ste 140Castle Rock, CO 80104-2801
Phone 036-609-3333
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