Organization
GATEWAY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUY TAM NGUYEN D.D.S. (DENTIST / PRESIDENT)
(303) 369-5517
Entity
Organization
Contact information
Practice address
1076 S SABLE BLVD, AURORA, CO 80012-3796
(303) 369-5517
(303) 369-5517
Mailing address
1076 S SABLE BLVD, AURORA, CO 80012-3796
(303) 369-5517
(303) 369-5517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6991
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02069912
—
CO
01
—
60054
AETNA PAYOR ID
CO
01
—
65978
METLIFE
CO
01
—
812293
UNITED CONCORDIA ID
CO
01
—
84056
DELTA DENTAL
CO
Enumeration date
09/16/2006
Last updated
02/10/2009
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