Healthcare Provider Details

I. General information

NPI: 1871635144
Provider Name (Legal Business Name): KARLA ANN ZINKANN DDS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W DRY CREEK CIR #102
LITTLETON CO
80120
US

IV. Provider business mailing address

9654 KALAMERE CT
HIGHLANDS RANCH CO
80126
US

V. Phone/Fax

Practice location:
  • Phone: 303-798-8293
  • Fax: 303-798-8293
Mailing address:
  • Phone: 303-791-1680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberHD105493
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: