Individual
KURT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-6000
Mailing address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00206096
CO
Other
Enumeration date
01/24/2024
Last updated
07/15/2025
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