Provider Demographics
NPI:1780184051
Name:CKS DENTAL INC
Entity Type:Organization
Organization Name:CKS DENTAL INC
Other - Org Name:THORNTON TOWN CENTER FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIYON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-986-0522
Mailing Address - Street 1:10005 GRANT ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2033
Mailing Address - Country:US
Mailing Address - Phone:303-450-3199
Mailing Address - Fax:303-450-0862
Practice Address - Street 1:10005 GRANT ST UNIT D
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2033
Practice Address - Country:US
Practice Address - Phone:303-450-3199
Practice Address - Fax:303-450-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty