Provider Demographics
NPI:1568661502
Name:KRENDL, STEVEN J (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:KRENDL
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 1:9102 W KEN CARYL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6518
Mailing Address - Country:US
Mailing Address - Phone:303-978-9572
Mailing Address - Fax:
Practice Address - Street 1:9102 W KEN CARYL AVE STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6518
Practice Address - Country:US
Practice Address - Phone:303-978-9572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021905122300000X
CODEN.00008888122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
20-8233529OtherFEDERAL ID NUMBER