Provider Demographics
NPI:1093975666
Name:SNAVELY AKIN, KELSEY DORINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:DORINE
Last Name:SNAVELY AKIN
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 1:4383 TENNYSON ST UNIT 1-F
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2315
Mailing Address - Country:US
Mailing Address - Phone:303-423-4383
Mailing Address - Fax:
Practice Address - Street 1:4383 TENNYSON ST UNIT 1-F
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2315
Practice Address - Country:US
Practice Address - Phone:303-423-4383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96591223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry