Healthcare Provider Details

I. General information

NPI: 1558173567
Provider Name (Legal Business Name): GAURIJ KAPOTE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7668 MALL RD UNIT B
FLORENCE KY
41042-1593
US

IV. Provider business mailing address

1363 N VICTOR ST UNIT 116
AURORA CO
80011-7084
US

V. Phone/Fax

Practice location:
  • Phone: 859-568-1900
  • Fax:
Mailing address:
  • Phone: 306-220-9249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206202
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD-00240
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: