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Search › Colorado › Dentist

Kenneth Mickens, DDS

NPI 1205064151 · on the registry since 2009 · sole proprietor

Practice

Address
3400 Penrose Pl
Suite 101
Boulder, CO 80301
Phone
(303) 442-8700
Fax
(303) 442-1326
Organisation at this address
John Montoya Dds Pc
Edward E Barrett Dds
Tony Yang Dds Md Pllc
Tony Yang Dds Md Pllc
Jeffrey H Wong, D.D.S. M.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado