Provider Demographics
NPI:1881757763
Name:KAES, JEFFREY LEIGH (DDS, PC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LEIGH
Last Name:KAES
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 E HAMPDEN AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3021
Mailing Address - Country:US
Mailing Address - Phone:303-504-4000
Mailing Address - Fax:303-504-4399
Practice Address - Street 1:7200 E HAMPDEN AVE STE 303
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3021
Practice Address - Country:US
Practice Address - Phone:303-504-4000
Practice Address - Fax:303-504-4399
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice