Healthcare Provider Details

I. General information

NPI: 1932581444
Provider Name (Legal Business Name): LAUREN WALDKIRCH KIGHT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 ANDERSON ST
GREENVILLE SC
29601-4201
US

IV. Provider business mailing address

503 ANDERSON ST
GREENVILLE SC
29601-4201
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-5910
  • Fax:
Mailing address:
  • Phone: 720-722-5910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00202530
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: