Provider Demographics
NPI:1538834825
Name:BHANGU, GAGANDEEP KAUR (DDS)
Entity type:Individual
Prefix:
First Name:GAGANDEEP
Middle Name:KAUR
Last Name:BHANGU
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 1:19256 E BALTIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4727
Mailing Address - Country:US
Mailing Address - Phone:720-789-1896
Mailing Address - Fax:
Practice Address - Street 1:3630 AUSTIN BLUFFS PKWY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6661
Practice Address - Country:US
Practice Address - Phone:719-304-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204835122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist