Doctor profile · Federal record
Dr. Jessica Gong
Dentist · Student in an Organized Health Care Education/Training Program · Boulder, CO
- NPI 1285257279
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
4410 Arapahoe Ave Ste 230
Boulder, CO 803031198
(303) 442-4555 - Additional location
-
1775 Grand Concourse Fl 6
Bronx, NY 104538202
(718) 901-8410 - Additional location
-
3960 River Point Pkwy Unit A
Sheridan, CO 801103315
(303) 781-2340 - Mailing address
-
536 W 174Th Ave
Broomfield, CO 800235206
Credentials & registration
- NPI registered
- May 2020 — 6 yrs on file
- Profile last updated
- July 23, 2025
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Colorado #DEN.00204879
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285257279. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$11
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 1 | $11.14 |
By nature of payment
Frequently asked questions
What is Dr. Jessica Gong's medical specialty?
Dr. Jessica Gong practices Dentist in Boulder, CO.
Where does Dr. Jessica Gong practice?
Dr. Jessica Gong practices at 4410 Arapahoe Ave Ste 230, Boulder, CO 803031198. Office phone: 3034424555.
What is Dr. Jessica Gong's NPI?
Dr. Jessica Gong's National Provider Identifier (NPI) is 1285257279, issued by NPPES.