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NPI Code Detail

MEDICARE: DR. ROBERT KIRK MCBRIDE D.D.S.

MEDICARE: DR. ROBERT KIRK MCBRIDE D.D.S.
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
11223E0200XEndodonticsDEN.00010233CO
2122300000XDentistDEN-10233CO

General Provider Information

NPI Number : 1477865657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT KIRK MCBRIDE D.D.S.
Provider Business Mailing Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-916-0381
Fax Number :
Provider Business Practice Location Address
First Line : 8749 WADSWORTH BLVD
Second Line :
City : ARVADA
State : CO
Zip : 80003-0907
Country : US
Telephone Number : 303-424-5463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2010
Last Update Date : 03/17/2018

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