Dr Kathleen Ann Gates, DDS | |
56720 Calumet Ave, Calumet, MI 49913-1967 | |
(906) 483-1177 | |
(906) 483-1394 |
Full Name | Dr Kathleen Ann Gates |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 56720 Calumet Ave, Calumet, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619906187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3185 (Idaho) | Secondary |
1223G0001X | Dentist - General Practice | DEN.00202725 (Colorado) | Primary |
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Ann Gates, DDS 9340 Canyon Dr, Woodland Park, CO 80863-7503 Ph: (303) 886-4155 | Dr Kathleen Ann Gates, DDS 56720 Calumet Ave, Calumet, MI 49913-1967 Ph: (906) 483-1177 |
Nicholas T Golba, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-372-3230 | |
Dr. Elizabeth D. Vanlandschoot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-481-3094 | |
Alicia Ranae Nieuwkoop, DDS Dentist Medicare: Medicare Enrolled Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 | |
Dr. Glenda Charlene Reynolds, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-483-1188 | |
Dr. Eden Leonard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 |