Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Garry Vangenderen, DDS

Individual provider General Practice Dentistry · NPI 1871982140

Dr. Garry Vangenderen, DDS is a General Practice Dentistry in LA Junta, Colorado. Works from 2 locations. Licensed in California and Colorado.

Licensed in
CA, CO
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

17 W 4th St
LA Junta, CO 81050-3636
Phone: (719) 383-2083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 962 Sepulveda Blvd, Harbor City, CA 90710-1405 — (310) 539-3245

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS108583 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN.00202413 (CO)

Record details

NPI number1871982140
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 9, 2015
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address330 The Village Drive, Apt 112, Redondo Beach, CA 90277

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