Ikeda, Kentaro

Ikeda, Kentaro is an individual health care provider with primary practice located at 13065 E 17Th Ave , Aurora CO 80045-2532. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ikeda, Kentaro can be contacted via phone (303) 724-5505.

Contact Information

Primary practice address
13065 E 17Th Ave Aurora CO 80045-2532
Phone: (303) 724-5505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 150533 North Carolina
Dental Providers / Dentist 122300000X AD.0000515 Colorado

Profile Details

NPI number 1467582577
LBN Legal business name Ikeda, Kentaro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Feb 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467582577 NPPES
Colorado MEDICAID 38820064

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