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DR. GARRY VANGENDEREN DDS
NPI 1871982140
Dentist - General Practice in La Junta, CO

Active since January 09, 2015
17 W 4TH ST, LA JUNTA, CO 81050(719) 383-2083 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Garry Vangenderen Dds NPPES

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

DR. GARRY VANGENDEREN DDS (NPI 1871982140) is an individual general practice provider in La Junta, Colorado, licensed in California (DDS108583) and active in the NPI registry since January 2015. He maintains a secondary practice location in Harbor City.

NPPES Registry Identity

NPI1871982140
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARRY VANGENDERENCredential: DDS
Location Address17 W 4TH STLa Junta, CO 81050-3636
Mailing Address330 The Village Drive, Apt 112Redondo Beach, CA 90277 · (201) 214-3838
Phone(719) 383-2083
Sole ProprietorNo
Enumeration DateJanuary 9, 2015
Last NPPES UpdateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1871982140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · DDS108583✔ Licensed in CO · DEN.00202413
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
17 W 4TH ST, La Junta, CO 81050
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Secondary Practice Location 1

Location 1962 Sepulveda BlvdHarbor City, CA 90710-1405 · Phone (310) 539-3245

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garry Vangenderen's NPI number?

The NPI number for Garry Vangenderen is 1871982140. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Garry Vangenderen located?

Garry Vangenderen practices at 17 W 4th St, La Junta, CO 81050. The listed phone number is (719) 383-2083.

What is Garry Vangenderen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Garry Vangenderen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Garry Vangenderen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garry Vangenderen was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.