Provider Demographics
NPI:1831531748
Name:DHAWAN, KAUSHAL KUMAR (DDS)
Entity type:Individual
Prefix:DR
First Name:KAUSHAL
Middle Name:KUMAR
Last Name:DHAWAN
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 1:5161 E ARAPAHOE RD STE 255
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4810
Mailing Address - Country:US
Mailing Address - Phone:303-773-8752
Mailing Address - Fax:
Practice Address - Street 1:5161 E ARAPAHOE RD STE 255
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4810
Practice Address - Country:US
Practice Address - Phone:303-773-8752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN02020801223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty