Healthcare Provider Details

I. General information

NPI: 1477865657
Provider Name (Legal Business Name): ROBERT KIRK MCBRIDE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12880 COLORADO BLVD STE 120
THORNTON CO
80241-2161
US

IV. Provider business mailing address

12880 COLORADO BLVD STE 120
THORNTON CO
80241-2161
US

V. Phone/Fax

Practice location:
  • Phone: 303-920-9145
  • Fax: 720-524-3945
Mailing address:
  • Phone: 303-920-9145
  • Fax: 720-534-3945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDEN.00010233
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN-10233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: