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

Jessica Gong

Individual provider Dentist · NPI 1285257279

Jessica Gong is a Dentist in Boulder, Colorado. Works from 3 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4410 Arapahoe Ave Ste 230
Boulder, CO 80303-1198
Phone: (303) 442-4555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3960 River Point Pkwy Unit A, Sheridan, CO 80110-3315 — (303) 781-2340
  • 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 — (718) 901-8410

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00204879 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285257279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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