Provider Demographics
NPI:1477865657
Name:MCBRIDE, ROBERT KIRK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KIRK
Last Name:MCBRIDE
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 1:8749 WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-0907
Mailing Address - Country:US
Mailing Address - Phone:303-916-0381
Mailing Address - Fax:
Practice Address - Street 1:8749 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-0907
Practice Address - Country:US
Practice Address - Phone:303-424-5463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.000102331223E0200X
CODEN-10233122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist