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NPI Code Detail

MEDICARE: DR. GARY JAMES VALIANT DDS

MEDICARE:  DR. GARY JAMES VALIANT  DDS
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
11223G0001XGeneral Practice DentistryDEN.00201915CO
21223G0001XGeneral Practice DentistryD9560MN

General Provider Information

NPI Number : 1285619783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY JAMES VALIANT DDS
Provider Business Mailing Address
First Line : 1667 COCHRANE CIR BLDG 7495
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 719-526-5537
Fax Number :
Provider Business Practice Location Address
First Line : 1667 COCHRANE CIR BLDG 7495
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 719-526-5537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 06/17/2022

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Directions to “ DR. GARY JAMES VALIANT DDS” Practice Location

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