Provider Demographics
NPI:1437472438
Name:BRUCE B. KINDER D.D.S
Entity Type:Organization
Organization Name:BRUCE B. KINDER D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:BOWMAN
Authorized Official - Last Name:KINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-361-6668
Mailing Address - Street 1:11275 E MISSISSIPPI AVE STE 1S4
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2820
Mailing Address - Country:US
Mailing Address - Phone:303-361-6668
Mailing Address - Fax:303-856-3700
Practice Address - Street 1:11275 E MISSISSIPPI AVE STE 1S4
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2820
Practice Address - Country:US
Practice Address - Phone:303-361-6668
Practice Address - Fax:303-856-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty