MR. YUANBING GONG DDS NPI 1609325497

NPI Information

  • NPI: 1609325497
  • Provider Name: MR. YUANBING GONG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
    6940 MESA RIDGE PKWY
    FOUNTAIN, CO
    ZIP 80817
  • Phone: (434) 332-5919

Map and Directions

Get Directions

NPI Details

MR. Yuanbing Gong, DDS is a general practice dentist in Fountain, CO. The provider is 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. MR. Yuanbing Gong, DDS NPI is 1609325497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

FOUNTAIN MODERN DENTISTRY AND ORTHODONTICS
6940 MESA RIDGE PKWY
FOUNTAIN, CO
ZIP 80817
Phone: (434) 332-5919

The enumeration date for this NPI number is 9/22/2016 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist0401415431VIRGINIANo
21223G0001XDentistGeneral Practice0401415431VIRGINIANo
31223G0001XDentistGeneral PracticeDEN.00206132COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10401415431OTHERVIRGINIACOMMONWEALTH OF VIRGINIA DEPT OF HEALTH PROFESSIONS
21609325497OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI