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Active NPI 1871982140 Individual Practitioner Male Practitioner

Dr. Garry Vangenderen , DDS

Dentist - General Practice • La Junta, CO

Professional Overview & Biography Verified Profile Summary

Dr. Garry Vangenderen, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Junta, CO. Practice services are available at 17 W 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17 W 4th St

La Junta, CO 810503636

Telephone 7193832083
Associated Practice Facility / Clinic
🏢 Down To Earth Dentistry, Llc. Facility NPI 1730506809

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Junta, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
5 Specialists

Practicing in La Junta, CO (2613 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: 2023-04-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS108583

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00202413

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

962 Sepulveda Blvd

Harbor City, CA 907101405

Phone: 3105393245

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 03, 2023

Registered at 330 THE VILLAGE DRIVE, APT 112, REDONDO BEACH, CA 90277 (Tel: 2012143838)

NPI Profile Active January 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2015

Registered at 17 W 4TH ST, LA JUNTA, CO 810503636 (Tel: 7193832083)

📍
Updated Business Mailing Address January 09, 2015

Registered at 520 HERMOSA AVE, APT 6, HERMOSA BEACH, CA 902544437 (Tel: 2012143838)

👤
Provider Name / Credentials Updated January 09, 2015

Recorded as GARRY VANGENDEREN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2015

Dentist (License #DEN.00202413 in CO)

🟢
Initial NPI Registration & Enumeration January 09, 2015

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: 1871982140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2015
Last Update: April 03, 2023
Sole Proprietor: No

Mailing Address

330 The Village Drive, Apt 112

Redondo Beach, CA 90277

Phone: 2012143838

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.