Provider Demographics
NPI:1619181666
Name:KINARD, MARK P (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:P
Last Name:KINARD
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 1:9920 WADSWORTH PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-6847
Mailing Address - Country:US
Mailing Address - Phone:303-425-1000
Mailing Address - Fax:303-425-1026
Practice Address - Street 1:9920 WADSWORTH PKWY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-6847
Practice Address - Country:US
Practice Address - Phone:303-425-1000
Practice Address - Fax:303-425-1026
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist