Provider Demographics
NPI:1043633415
Name:SLATER, H KENT (DDS)
Entity type:Individual
Prefix:DR
First Name:H
Middle Name:KENT
Last Name:SLATER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7760 W 38TH AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6136
Mailing Address - Country:US
Mailing Address - Phone:303-424-1005
Mailing Address - Fax:
Practice Address - Street 1:7760 W 38TH AVE
Practice Address - Street 2:STE 200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6136
Practice Address - Country:US
Practice Address - Phone:303-424-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8581223G0001X
OH30.0145021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice