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NPI Code Detail

MEDICARE: DR. KIRK ALAN SHROPSHIRE DDS

MEDICARE:  DR. KIRK ALAN SHROPSHIRE  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDEN.00202987CO

General Provider Information

NPI Number : 1083668727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRK ALAN SHROPSHIRE DDS
Provider Business Mailing Address
First Line : 1735 S PUBLIC RD STE 203
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-3036
Fax Number : 303-665-3397
Provider Business Practice Location Address
First Line : 1701 W 72ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80221-2721
Country : US
Telephone Number : 303-650-4460
Fax Number : 720-565-4131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/18/2021

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Directions to “ DR. KIRK ALAN SHROPSHIRE DDS” Practice Location

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