Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922096825 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Andersen , DDS

Dentist • Durango, CO

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Andersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2005
NPI Deactivation Date November 15, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Andersen, DDS was a registered Dentist practicing in Durango, CO. Throughout an active medical career spanning 18 years, Dr. Andersen provided care at the practice location at 3801 MAIN AVE until profile deactivation on 2023-11-15.

Practice Location & Contact Primary Location

Practice Address

3801 Main Ave

Durango, CO 813014075

Telephone 9703855930
Fax 9703855939

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Durango, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO 3150

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jolene Badding , RDH

Dental Hygienist

NPI 1265601926

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 15, 2023

Record deactivated on November 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3801 MAIN AVE, DURANGO, CO 813014075 (Tel: 9703855930)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3801 MAIN AVE, DURANGO, CO 813014075 (Tel: 9703855930)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY ANDERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3150 in CO)

🟢
Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gary Andersen. Be the first to share your experience!

Sign in to leave a review for Dr. Gary Andersen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922096825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2005
Last Update: July 08, 2007
Deactivation Date: November 15, 2023

Mailing Address

3801 Main Ave

Durango, CO 813014075

Phone: 9703855930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.