Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073358800 Individual Practitioner Male Practitioner

Dr. Jack Rahman Gothier , DDS

Dentist • Grand Junction, CO

Professional Overview & Biography Verified Profile Summary

Dr. Jack Gothier, DDS is a registered healthcare professional specializing in Dentist in Grand Junction, CO. Practice services are available at 2333 N 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2333 N 6th St

Grand Junction, CO 815012001

Telephone 9702001600
Associated Practice Facility / Clinic
🏢 Marillac Clinic, Inc. Facility NPI 1871865576

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grand Junction, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Grand Junction, 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

CMS Verified: 2024-06-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO DEN.0020601

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

15 Associated Practitioners
Karen Fallon , FNP-BC

Nurse Practitioner - Family

NPI 1083444764

Family Nurse Practitioner (Board Certified)

Keelin Lewis , PA-C

Physician Assistant

NPI 1134732076

Physician Assistant (Certified)

Brooke Larson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164962379

Psychiatric-Mental Health Nurse Practitioner

Andrew Rossway

Counselor - Professional

NPI 1174288682
Brandi Byars , LCSW

Social Worker - Clinical

NPI 1255044913

Licensed Clinical Social Worker

Gretta Thompson , NP

Nurse Practitioner

NPI 1306575170

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2024

Registered at 2333 N 6TH ST, GRAND JUNCTION, CO 815012001 (Tel: 9702001600)

📍
Updated Business Mailing Address June 25, 2024

Registered at 2375 GLENWOOD LN, AVON, OH 440114711 (Tel: 4408655107)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as JACK GOTHIER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Dentist (License #DEN.0020601 in CO)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073358800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: No

Mailing Address

2375 Glenwood Ln

Avon, OH 440114711

Phone: 4408655107

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.