Provider Demographics
NPI:1932213451
Name:KENNETH S. LAHR, DDS P.C.
Entity Type:Organization
Organization Name:KENNETH S. LAHR, DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LAHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-697-4038
Mailing Address - Street 1:19423 N TURKEY CREEK RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-8902
Mailing Address - Country:US
Mailing Address - Phone:303-697-4038
Mailing Address - Fax:303-697-4409
Practice Address - Street 1:19423 N TURKEY CREEK RD
Practice Address - Street 2:SUITE F
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-8902
Practice Address - Country:US
Practice Address - Phone:303-697-4038
Practice Address - Fax:303-697-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty