Provider Demographics
NPI:1083006357
Name:HIEGERT, KATHRYN MCCAA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MCCAA
Last Name:HIEGERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10371 PARKGLENN WAY STE 260
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3872
Mailing Address - Country:US
Mailing Address - Phone:720-638-6114
Mailing Address - Fax:
Practice Address - Street 1:10371 PARKGLENN WAY STE 260
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3872
Practice Address - Country:US
Practice Address - Phone:720-638-6114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000107241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry