MEDICARE: GAOMAN GU DDS, MSD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	00009754	WA

General Provider Information

NPI Number	:	1124021886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAOMAN GU DDS, MSD, PHD

Provider Business Mailing Address
First Line	:	1122 N 27TH PL
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98056-1471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12610 DES MOINES MEMORIAL DR
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98168-2284
Country	:	US
Telephone Number	:	206-243-7788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558544908 — PERRY & PERRY PS
Practice Location Address:

12610 DES MOINES MEM DR S , SUITE 206
SEATTLE, WA
98168-2284

Practice Phone: 206-243-7818
Practice Fax: 206-243-0419

1316936891 — DR. JENNIE CHEN SHANG HUANG MD
Practice Location Address:

1600 7TH AVE STE 110
SEATTLE, WA
98101-2284

Practice Phone: 206-267-4390
Practice Fax: 206-267-4391

1699745687 — DARLA M. KLOKEID M.D.
Practice Location Address:

1600 7TH AVE STE 110
SEATTLE, WA
98101-2284

Practice Phone: 206-267-4390
Practice Fax:

1487075644 — MRS. ALANI LUCILLE KALFAYAN NP-C
Practice Location Address:

1600 7TH AVE , SUITE 110
SEATTLE, WA
98101-2284

Practice Phone: 206-267-4390
Practice Fax: 206-267-4391

1598214397 — ONE MEDICAL GROUP OF WASHINGTON, P.C.
Practice Location Address:

1600 7TH AVE STE 110
SEATTLE, WA
98101-2284

Practice Phone: 415-658-6791
Practice Fax:

1255301081 — THANHXUAN THI TRAN CPHT
Practice Location Address:

12627 9TH AVE S
SEATTLE, WA
98168-2293

Practice Phone: 206-760-8590
Practice Fax:

Directions to “ GAOMAN GU DDS, MSD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.