Provider Demographics
NPI:1972830388
Name:READ, JASON KIRK (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:KIRK
Last Name:READ
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 S BEELER ST
Mailing Address - Street 2:#3
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1833
Mailing Address - Country:US
Mailing Address - Phone:662-769-1614
Mailing Address - Fax:
Practice Address - Street 1:3660 S BEELER ST # 3
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1833
Practice Address - Country:US
Practice Address - Phone:662-769-1614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002021811223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics