Provider Demographics
NPI:1871652883
Name:CHUBB, THOMAS KENT (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KENT
Last Name:CHUBB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5150 W 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4449
Mailing Address - Country:US
Mailing Address - Phone:303-428-3613
Mailing Address - Fax:303-427-4631
Practice Address - Street 1:5150 W 80TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4449
Practice Address - Country:US
Practice Address - Phone:303-428-3613
Practice Address - Fax:303-427-4631
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics