Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19423 N TURKEY CREEK RD SUITE F
MORRISON CO
80465-8902
US

IV. Provider business mailing address

19423 N TURKEY CREEK RD SUITE F
MORRISON CO
80465-8902
US

V. Phone/Fax

Practice location:
  • Phone: 303-697-4038
  • Fax: 303-697-4409
Mailing address:
  • Phone: 303-697-4038
  • Fax: 303-697-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6873
License Number StateCO

VIII. Authorized Official

Name: DR. KENNETH SCOTT LAHR
Title or Position: DENTIST
Credential: D.D.S.
Phone: 303-697-4038