Provider Demographics
NPI:1710341730
Name:STEVEN C. KARDEN D.D.S
Entity Type:Organization
Organization Name:STEVEN C. KARDEN D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-366-2115
Mailing Address - Street 1:11275 E. MISSISSIPPI AVE
Mailing Address - Street 2:SUITE 1E3
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2816
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11275 E. MISSISSIPPI AVE
Practice Address - Street 2:SUITE 1E3
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2816
Practice Address - Country:US
Practice Address - Phone:303-366-2115
Practice Address - Fax:303-366-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003741261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45525064Medicaid