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General NPI Number Information
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NPI Number | 1780712836
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Entity Type | Organization
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Legal Business Name | FRANK J GOLD DDS PC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1360 SO WADSWORTH BLVD SUITE 200
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City | LAKEWOOD
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State | CO
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Zip | 80232-5414
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Country | US
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Telephone | 303-988-2738
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Fax | 303-988-4010
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Provider Business Mailing Address
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Address Line | 1360 SO WADSWORTH BLVD SUITE 200
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City | LAKEWOOD
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State | CO
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Zip | 80232-5414
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Country | US
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Telephone | 303-988-2738
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Fax | 303-988-4010
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. FRANK JAY GOLD
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Credential | DDS
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Telephone | 303-988-2738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3049
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License Number State | CO
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