Provider Demographics
NPI:1992841498
Name:YORK-JOHNSON, KIMBERLY K (DDS)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:K
Last Name:YORK-JOHNSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 E BRIARWOOD CIR
Mailing Address - Street 2:350
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1599
Mailing Address - Country:US
Mailing Address - Phone:303-680-6000
Mailing Address - Fax:303-680-2326
Practice Address - Street 1:5492 SOUTH PARKER RD.
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015
Practice Address - Country:US
Practice Address - Phone:303-680-6000
Practice Address - Fax:303-690-4102
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7465122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist