Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth W Mickens II, DDS

Individual provider Dentist · NPI 1205064151

Kenneth W Mickens II, DDS is a Dentist in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3400 Penrose Pl Ste 101
Boulder, CO 80301-1809
Phone: (303) 442-8700
Fax: (303) 442-1326
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7244 (CO)

Record details

NPI number1205064151
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 30, 2009
Last updated in NPPESJune 30, 2009
Mailing address3400 Penrose Pl, Suite 101, Boulder, CO 80301-1809

Other providers in Boulder