Healthcare Provider Details

I. General information

NPI: 1346476140
Provider Name (Legal Business Name): THOMAS CHARLES GENT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2842 FAIRFAX ST
DENVER CO
80207-2711
US

IV. Provider business mailing address

2842 FAIRFAX ST
DENVER CO
80207-2711
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-9070
  • Fax:
Mailing address:
  • Phone: 720-722-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number206197
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: