Provider Demographics
NPI:1588053953
Name:GUPTA, ANAHITA (DDS)
Entity type:Individual
Prefix:
First Name:ANAHITA
Middle Name:
Last Name:GUPTA
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 1:7515 W YALE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3423
Mailing Address - Country:US
Mailing Address - Phone:303-988-3319
Mailing Address - Fax:303-988-3492
Practice Address - Street 1:7515 W YALE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3423
Practice Address - Country:US
Practice Address - Phone:303-988-3319
Practice Address - Fax:303-988-3492
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2024311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice