Provider Demographics
NPI:1295264752
Name:ROGOZHKINA, KRISTINA (DDS)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:ROGOZHKINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2599 WADSWORTH BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5640
Mailing Address - Country:US
Mailing Address - Phone:303-421-4820
Mailing Address - Fax:303-421-4822
Practice Address - Street 1:2599 WADSWORTH BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5640
Practice Address - Country:US
Practice Address - Phone:303-421-4820
Practice Address - Fax:303-421-4822
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO205186122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK6948OtherDEA