Provider Demographics
NPI:1346030616
Name:HIBINGER, ANDREW KYLE (DDS)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:KYLE
Last Name:HIBINGER
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 LITTLE RAVEN ST APT 230
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-7167
Mailing Address - Country:US
Mailing Address - Phone:330-671-5519
Mailing Address - Fax:
Practice Address - Street 1:7641 SHAFFER PKWY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3013
Practice Address - Country:US
Practice Address - Phone:720-389-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00206285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist