Individual
MAXIM A KONDRATENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 VALLEY VIEW DR, DELTA, CO 81416-3138
(970) 874-8981
(855) 299-7586
Mailing address
PO BOX 529, OLATHE, CO 81425-0529
(970) 323-6141
(855) 299-8071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00206311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900246427
—
CO
Enumeration date
05/01/2025
Last updated
01/16/2026
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