DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JANICA JOLI GILLETTE-BACKSTROM, R.D.H., D.D.S

Active

DR. JANICA JOLI GILLETTE-BACKSTROM, R.D.H., D.D.S is a General Dentistry healthcare provider located in FOUNTAIN, Colorado. NPI 1801234489 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FOUNTAIN, CO

Registration Details

NPI Number
1801234489
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2013 (13.047560402435 yrs)
Last Updated
Aug 6, 2019
Licenses
D-4494 (ID)
DEN.00202704 (CO)

Practice Information

Address
6940 MESA RIDGE PARKWAY
FOUNTAIN, CO, 80817
Browse CO providers · Browse ZIP 80817
Phone
7193824936
Fax
7193824938
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in FOUNTAIN, CO

Name Credential NPI
DR. GEORGE RANTA DDS 1437120151
DR. RYAN REPOSA DMD 1417928136
DR. CANDACE PFISTER DMD 1972574697
DR. JEFFREY RANTA DMD 1609848944
MR. YUANBING GONG DDS 1609325497
ASPEN B CAMPBELL DDS 1467191114
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.