Provider Demographics
NPI:1538151931
Name:CHERNOFF, KENNETH LOUIS (DDS)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:LOUIS
Last Name:CHERNOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9204 W COCO PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-9274
Mailing Address - Country:US
Mailing Address - Phone:720-922-3242
Mailing Address - Fax:
Practice Address - Street 1:5151 S FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2987
Practice Address - Country:US
Practice Address - Phone:303-795-1107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice