Provider Demographics
NPI:1932581444
Name:KIGHT, LAUREN WALDKIRCH (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:WALDKIRCH
Last Name:KIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 E ALLEN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-7823
Mailing Address - Country:US
Mailing Address - Phone:303-660-6883
Mailing Address - Fax:
Practice Address - Street 1:36 E ALLEN ST
Practice Address - Street 2:STE 100
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-7823
Practice Address - Country:US
Practice Address - Phone:303-660-6883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202530122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist