Individual provider · Type 1 NPI

Kenneth W. Mickens Ii, DDS

Dentist · Boulder, CO

NPI number 1205064151 Active

Practice location

3400 Penrose Pl, Suite 101
Boulder, CO 80301-1809

Call (303) 442-8700 Map

Fax (303) 442-1326

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X7244 (CO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1205064151

Kenneth W. Mickens Ii, DDS's National Provider Identifier is 1205064151, issued on Jun 30, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boulder, CO. The record was last updated on Jun 30, 2009.