IndividualActive
Ahmadreza Khademi
NPI 1306601372 · Dentist · Commerce City, CO
Provider details
- NPI number
- 1306601372
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00206256 (CO)
Specialties & taxonomies
Dental Providers
Practice location
4972 E 62nd Ave
Commerce City, CO 80022-3253
Phone: (303) 288-4969
Approximate (ZIP-level) locationGet directions
Mailing address
4972 E 62nd Ave
Commerce City, CO 80022-3253
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2025-04-27
- Certified
- 2025-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.