Individual provider · Type 1 NPI

Janica Joli Gillette-Backstrom, R.D.H., D.D.S

General Practice Dentistry · Fountain, CO

NPI number 1801234489 Active

Practice location

6940 Mesa Ridge Parkway
Fountain, CO 80817

Call (719) 382-4936 Map

Fax (719) 382-4938

Mailing address

4680 Stone Manor Hts
Colorado Springs, CO 80906-8605

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	D-4494 (ID)
General Practice Dentistry Primary	1223G0001X	DEN.00202704 (CO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1801234489

Janica Joli Gillette-Backstrom, R.D.H., D.D.S's National Provider Identifier is 1801234489, issued on Jun 5, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fountain, CO. The record was last updated on Aug 6, 2019.