| Gateway Dental, P.c. | |
|
1076 S Sable Blvd Aurora CO 80012-3796 | |
| (303) 369-5517 | |
| (303) 369-5517 |
| Full Name | Gateway Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1076 S Sable Blvd, Aurora, Colorado |
| Authorized Official Name and Position | Huy Tam Nguyen (DENTIST / PRESIDENT) |
| Authorized Official Contact | 3033695517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental, P.c. 1076 S Sable Blvd Aurora CO 80012-3796 Ph: (303) 369-5517 | Gateway Dental, P.c. 1076 S Sable Blvd Aurora CO 80012-3796 Ph: (303) 369-5517 |
| NPI Number | 1356447338 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 02/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356447338 | NPI | - | NPPES |
| 02069912 | Medicaid | CO | |
| 84056 | Other | CO | DELTA DENTAL |
| 812293 | Other | CO | UNITED CONCORDIA ID |
| 60054 | Other | CO | AETNA PAYOR ID |
| 65978 | Other | CO | METLIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6991 (Colorado) | Primary |
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