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

Nitan Bahnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477947984

Nitan Bahnson is a Student in an Organized Health Care Education/Training Program in Gillette, Wyoming. Licensed in Colorado and Wyoming. Registered with an NPI since 2015.

Licensed in
CO, WY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1211 S Douglas Hwy
Gillette, WY 82716-4949
Phone: (307) 682-6771
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1440 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CO)

Record details

NPI number1477947984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address13001 E 17th Pl, Aurora, CO 80045-2570

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