Provider Demographics
NPI:1467011825
Name:MORRATO, KAILYN NOELLE (RDH)
Entity Type:Individual
Prefix:
First Name:KAILYN
Middle Name:NOELLE
Last Name:MORRATO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 W LITTLETON BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2138
Mailing Address - Country:US
Mailing Address - Phone:303-798-4571
Mailing Address - Fax:
Practice Address - Street 1:2100 W LITTLETON BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2138
Practice Address - Country:US
Practice Address - Phone:303-798-4571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002024847124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist