Provider Demographics
NPI:1518951847
Name:GILL, NANCY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:GILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WILDER LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6604
Mailing Address - Country:US
Mailing Address - Phone:720-560-8550
Mailing Address - Fax:
Practice Address - Street 1:5856 S LOWELL BLVD STE 31
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7915
Practice Address - Country:US
Practice Address - Phone:720-277-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8784122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO850606782OtherUNITED HEALTHCARE
CO700147Medicaid