Most Relevant Information
Provider Data
| NPI Number: | 1003173576 |
| Provider Name: | JOSHUA JACKSTIEN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223D0004X |
| Specialty: | Dentist |
| License Number: | 8590166-9924 |
Most Important Dates
| Enumeration Date: | 04/20/2012 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
8301 E PRENTICE AVE STE 215
GREENWOOD VILLAGE
CO
801112990
Practice Location Phone/Fax
| Phone: | 7206064220 |
| Fax: | 7206064221 |
Provider Mailing Location
8301 E PRENTICE AVE STE 215
GREENWOOD VILLAGE
CO
801112990
Provider Mailing Phone/Fax
| Phone: | 7206064220 |
| Fax: | 7206064221 |