Provider Demographics
NPI:1073754008
Name:AMICK, KARI L (DDS)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:AMICK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8310 COLORADO BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6814
Mailing Address - Country:US
Mailing Address - Phone:720-598-1111
Mailing Address - Fax:
Practice Address - Street 1:8310 COLORADO BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6814
Practice Address - Country:US
Practice Address - Phone:720-598-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-21
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10087122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist