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

General Dentistry · Fountain, CO

UnclaimedR.D.H., D.D.SNPI 1801234489
Primary taxonomy
1223G0001X
Enumerated
2013-06-05
Practice location
Fountain, CO
Last NPPES update
2019-08-06

State licenses

  • CO · Dentist · NPPES self-reportedListed on NPI record
  • CO · Dentist · DENActivethrough 2028verify
  • ID · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.