Provider Demographics
NPI:1669702189
Name:KUBICEK, AARON (DMD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:KUBICEK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13440 W ALAMEDA PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5601
Mailing Address - Country:US
Mailing Address - Phone:303-988-0711
Mailing Address - Fax:303-988-1230
Practice Address - Street 1:13440 W ALAMEDA PKWY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-5601
Practice Address - Country:US
Practice Address - Phone:303-988-0711
Practice Address - Fax:303-988-1230
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO100621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice