Provider Demographics
NPI:1831376821
Name:GILBERT E. VIGIL, D.D.S
Entity type:Organization
Organization Name:GILBERT E. VIGIL, D.D.S
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-458-3838
Mailing Address - Street 1:3190 W 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3208
Mailing Address - Country:US
Mailing Address - Phone:303-458-3838
Mailing Address - Fax:303-458-1357
Practice Address - Street 1:3190 W 34TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3208
Practice Address - Country:US
Practice Address - Phone:303-458-3838
Practice Address - Fax:303-458-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5536122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1154467603OtherINDIVIDUAL NPI