NPI 1013430347

Kathryn Dickmann, DDS

Practitioner General Practice Dentistry Superior, CO

Practice location

Address: 306 Center Dr, Superior, CO 80027-8625
Phone: (303) 499-9555
Mailing address: 11994 Ridge Pkwy APT 201, Broomfield, CO 80021-5158

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEN.0020325 (CO)

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Registry record

NPI: 1013430347
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2017
Record last updated: 18 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.