Provider Demographics
NPI:1710999891
Name:KIRCHNER, THOMAS JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:KIRCHNER
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 1:2532 W 99TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6112
Mailing Address - Country:US
Mailing Address - Phone:303-469-5805
Mailing Address - Fax:
Practice Address - Street 1:820 CLERMONT ST
Practice Address - Street 2:SUITE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3813
Practice Address - Country:US
Practice Address - Phone:303-399-7106
Practice Address - Fax:303-399-7107
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist