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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT KIMBALL STUCKI, D.D.S., M.S.

Active Sole Proprietor

GRANT KIMBALL STUCKI, D.D.S., M.S. is a Oral & Maxillofacial Surgery healthcare provider located in HIGHLANDS RANCH, Colorado. NPI 1184850315 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · HIGHLANDS RANCH, CO

Registration Details

NPI Number
1184850315
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2009 (17.242855014551 yrs)
Last Updated
May 3, 2016
Licenses
62211 (CA)
8504184 (UT)
D008773 (AZ)
202724 (CO)
Sole Proprietor
Yes

Practice Information

Address
4763 BRIARGLEN LN
HIGHLANDS RANCH, CO, 801306909
Browse CO providers · Browse ZIP 80130
Phone
5202553132
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in HIGHLANDS RANCH, CO

Name Credential NPI
DR. STEPHEN M STEIN DDS 1396742300
RYAN D HAMBLETON DMD 1316267503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.