MEDICARE: KENNETH S. LAHR, DDS P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6873	CO

General Provider Information

NPI Number	:	1932213451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNETH S. LAHR, DDS P.C.

Provider Business Mailing Address
First Line	:	19423 N TURKEY CREEK RD
Second Line	:	SUITE F
City	:	MORRISON
State	:	CO
Zip	:	80465-8902
Country	:	US
Telephone Number	:	303-697-4038
Fax Number	:	303-697-4409

Provider Business Practice Location Address
First Line	:	19423 N TURKEY CREEK RD
Second Line	:	SUITE F
City	:	MORRISON
State	:	CO
Zip	:	80465-8902
Country	:	US
Telephone Number	:	303-697-4038
Fax Number	:	303-697-4409

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. KENNETH SCOTT LAHR
Credential	:	D.D.S.
Telephone Number	:	303-697-4038

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/22/2020

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