Healthcare Provider Details
I. General information
NPI: 1154076024
Provider Name (Legal Business Name): KMH ORTHODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/18/2022
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2373 CENTRAL PARK BLVD UNIT 305
DENVER CO
80238-2301
US
IV. Provider business mailing address
2373 CENTRAL PARK BLVD UNIT 305
DENVER CO
80238-2301
US
V. Phone/Fax
- Phone: 303-399-5437
- Fax:
- Phone: 303-399-5437
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRANDON
SCHEER
Title or Position: ORTHODONTIST
Credential: DDS, MSD
Phone: 316-706-9318