MEDICARE: DR. CARLOS SAMUEL GOMEZ 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
1	1223G0001X	General Practice Dentistry	DEN-DEN-LIC-33382	MT

General Provider Information

NPI Number	:	1821922915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS SAMUEL GOMEZ DDS

Provider Business Mailing Address
First Line	:	3681 OLIVIA DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7666
Country	:	US
Telephone Number	:	435-241-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	918 GRAND AVE
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3302
Country	:	US
Telephone Number	:	406-625-3000
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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