Provider Demographics
NPI:1881661908
Name:KLEKAMP, DAVID HARLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARLEN
Last Name:KLEKAMP
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 1:6000 E EVANS AVE
Mailing Address - Street 2:1-130
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5412
Mailing Address - Country:US
Mailing Address - Phone:303-759-2807
Mailing Address - Fax:303-759-5853
Practice Address - Street 1:6000 E EVANS AVE
Practice Address - Street 2:1-130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5412
Practice Address - Country:US
Practice Address - Phone:303-759-2807
Practice Address - Fax:303-759-5853
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1045601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice