KENNETH W MICKENS II DDS
NPI 1205064151
Dentist in Boulder, CO

Q: What is Kenneth Mickens's NPI number?

The NPI number for Kenneth Mickens is 1205064151. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Kenneth Mickens's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Mickens was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2009

3400 PENROSE PL, SUITE 101, BOULDER, CO 80301(303) 442-8700(303) 442-1326 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth W Mickens Ii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH W MICKENS II DDS (NPI 1205064151) is an individual dentist in Boulder, Colorado, licensed in Colorado (7244) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1205064151

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKENNETH W MICKENS IICredential: DDS

Location Address3400 PENROSE PL, SUITE 101Boulder, CO 80301-1809

Mailing Address3400 Penrose Pl, Suite 101Boulder, CO 80301-1809 · (303) 442-8700 · Fax (303) 442-1326

Phone(303) 442-8700

Fax(303) 442-1326

Sole ProprietorYes

Enumeration DateJune 30, 2009

✔ NPI 1205064151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · 7244

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3400 PENROSE PL, Boulder, CO 80301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL D JONES D.D.S.

Dentist (Pediatric Dentistry)

3400 PENROSE PL, SUITE 107
BOULDER, CO 80301

Boulder County (303) 443-8250

LOPEZ DENTAL HEALTH GROUP PC

Dentist

3400 PENROSE PL
BOULDER, CO 80301

Boulder County (303) 442-5748

EDWARD E BARRETT DDS

Dentist (General Practice)

3400 PENROSE PL, SUITE 104
BOULDER, CO 80301

Boulder County (303) 443-1895

DR. ROBERT HOLDEN DDS

Dentist (General Practice)

3400 PENROSE PL, SUITE 202
BOULDER, CO 80301

Boulder County (303) 442-5748

MARKOWITZ & WONG ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

3400 PENROSE PL, SUITE 203
BOULDER, CO 80301

Boulder County (303) 444-6680

JOHN MONTOYA DDS PC

Dentist

3400 PENROSE PL, SUITE 104
BOULDER, CO 80301

Boulder County (303) 443-1895

KENNETH POULSEN DDS

Dentist (General Practice)

3400 PENROSE PL, SUITE 105
BOULDER, CO 80301

Boulder County (303) 449-3131

DR. EDWARD E BARRETT D.D.S.

Dentist (General Practice)

3400 PENROSE PL, SUITE #104
BOULDER, CO 80301

Boulder County (303) 443-1895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mickens's NPI number?

The NPI number for Kenneth Mickens is 1205064151. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Kenneth Mickens located?

Kenneth Mickens practices at 3400 Penrose Pl Suite 101, Boulder, CO 80301. The listed phone number is (303) 442-8700.

What is Kenneth Mickens's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kenneth Mickens accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Mickens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Mickens was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.