Healthcare Provider Details

I. General information

NPI: 1659086023
Provider Name (Legal Business Name): KINDA PLLC-DBA CHERRY CREEK PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 E KENTUCKY AVE STE A
DENVER CO
80246-2279
US

IV. Provider business mailing address

5055 E KENTUCKY AVE STE A
DENVER CO
80246-2279
US

V. Phone/Fax

Practice location:
  • Phone: 303-757-8844
  • Fax: 303-759-0994
Mailing address:
  • Phone: 303-757-8844
  • Fax: 303-759-0994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KOJO GYIMAH DANSO
Title or Position: PEDIATRIC DENTIST
Credential: DMD
Phone: 520-991-7605