JESSICA GONG
NPI 1285257279
Dentist in Boulder, CO

Active since May 25, 2020
4410 ARAPAHOE AVE STE 230, BOULDER, CO 80303(303) 442-4555 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2021, May 25, 2020 (2 updates tracked since 2020).

About Jessica Gong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA GONG (NPI 1285257279) is an individual dentist in Boulder, Colorado, licensed in Colorado (DEN.00204879) and active in the NPI registry since May 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285257279
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA GONG
Location Address4410 ARAPAHOE AVE STE 230Boulder, CO 80303-1198
Mailing Address536 W 174th AveBroomfield, CO 80023-5206 · (770) 596-6827
Sole ProprietorNo
Enumeration DateMay 25, 2020
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1285257279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CO · DEN.00204879
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4410 ARAPAHOE AVE STE 230, Boulder, CO 80303

Secondary Practice Locations 2

Location 11775 Grand Concourse Fl 6Bronx, NY 10453-8202 · Phone (718) 901-8410
Location 23960 River Point Pkwy Unit ASheridan, CO 80110-3315 · Phone (303) 781-2340

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285257279, enumerated as an "individual" on May 25, 2020.

The provider is located at 4410 ARAPAHOE AVE STE 230 BOULDER, CO 80303 and the phone number is (303) 442-4555.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.