Gino Ortegon is a Dentist in Pueblo, Colorado. Gino Ortegon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gino Ortegon is 1407069164. The last update date is 2007-07-08.
Gino Ortegon's current location address is 401 W 12th St, Pueblo, Colorado. You can contact this provider via phone number 7195830555. The mailing address for Gino Ortegon is 401 W 12th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gino Ortegon |
|---|---|
| Address | 401 W 12th St, Pueblo, Colorado |
| Phone Number | 7195830555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407069164 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 401 W 12th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810032814 |
| Phone Number | 7195830555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6787 |
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Definition: 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: denti |
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What is the Gino Ortegon's 1407069164?
The Gino Ortegon's NPI (National Provider Identifier) Number is 1407069164. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gino Ortegon located?
The Gino Ortegon is located at 401 W 12Th St, Pueblo, CO 810032814.
What is Gino Ortegon's area of expertise and its corresponding taxonomy classification?
The Gino Ortegon's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1407069164 to Gino Ortegon?
The Centers for Medicare & Medicaid Services assigned the 1407069164 to Gino Ortegon on 2007-05-08.
As of what date were the details related to Gino Ortegon most recently updated or revised?
The information pertaining to Gino Ortegon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1720081763
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