Healthcare Provider Details

I. General information

NPI: 1083230403
Provider Name (Legal Business Name): MEGHAN KATE HENEGHAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13533 HURON ST STE 100
DENVER CO
80234-1158
US

IV. Provider business mailing address

13533 HURON ST STE 100
DENVER CO
80234-1158
US

V. Phone/Fax

Practice location:
  • Phone: 303-452-3982
  • Fax:
Mailing address:
  • Phone: 303-452-3982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00204504
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberT-DEN.00000036
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: