IndividualActive
Ethan Kerns, DDS
NPI 1487851473 · General Practice Dentistry · Frederick, CO
Provider details
- NPI number
- 1487851473
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DEN.00009471 (CO)
Specialties & taxonomies
Dental Providers
Practice location
5995 Iris Parkway
Frederick, CO 80530
Phone: (303) 833-2050
Fax: (303) 833-9183
Approximate (ZIP-level) locationGet directions
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2016-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.