Provider Demographics
NPI:1326046137
Name:LAHR, KENNETH S (DDS)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:S
Last Name:LAHR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19423 N TURKEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-8902
Mailing Address - Country:US
Mailing Address - Phone:303-697-4038
Mailing Address - Fax:303-697-4409
Practice Address - Street 1:19423 N TURKEY CREEK RD
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-8902
Practice Address - Country:US
Practice Address - Phone:303-697-4038
Practice Address - Fax:303-697-4409
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68731223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health