MEDICARE: ANKUR KAUL 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
1	1223G0001X	General Practice Dentistry	DEN.00202748	CO

General Provider Information

NPI Number	:	1720447113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANKUR KAUL DDS

Provider Business Mailing Address
First Line	:	11175 E MISSISSIPPI AVE
Second Line	:	SUITE 110
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-343-9313
Fax Number	:	303-343-9537

Provider Business Practice Location Address
First Line	:	11175 E MISSISSIPPI AVE
Second Line	:	SUITE 110
City	:	AURORA
State	:	CO
Zip	:	80012-3137
Country	:	US
Telephone Number	:	303-343-9313
Fax Number	:	303-343-9537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	02/15/2016

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