Provider Demographics
NPI:1053369751
Name:KEMPTON-ST ONGE, CINDY (DDS)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:KEMPTON-ST ONGE
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 1:7261 S BROADWAY
Mailing Address - Street 2:102
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8017
Mailing Address - Country:US
Mailing Address - Phone:303-738-3888
Mailing Address - Fax:383-738-3111
Practice Address - Street 1:7261 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8017
Practice Address - Country:US
Practice Address - Phone:303-738-3888
Practice Address - Fax:383-738-3111
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO85011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice