Provider Demographics
NPI:1699392811
Name:ZINSER, KELSEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:
Last Name:ZINSER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1776 CURTIS ST APT 1911
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2555
Mailing Address - Country:US
Mailing Address - Phone:561-267-5350
Mailing Address - Fax:
Practice Address - Street 1:10090 W 26TH AVE UNIT 400
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1400
Practice Address - Country:US
Practice Address - Phone:720-807-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0107411223G0001X
CODEN.002050791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice