Provider Demographics
NPI:1558442921
Name:GOGATE-BHUYAN, VARSHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:VARSHA
Middle Name:
Last Name:GOGATE-BHUYAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400R EAST GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444
Mailing Address - Country:US
Mailing Address - Phone:610-825-7444
Mailing Address - Fax:610-825-6002
Practice Address - Street 1:400R EAST GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444
Practice Address - Country:US
Practice Address - Phone:610-825-7444
Practice Address - Fax:610-825-6002
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031462L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice