person
Dr. Micahel Jason Gambill, DDS
Pediatric Dentist in Bossier City, Louisiana
NPI 1023454071

Micahel Jason Gambill is a Pediatric Dentist based in Bossier City, LA and is specialized in Pediatric Dentistry. Micahel Jason Gambill practices in Bossier City, LA and has the professional credentials of DDS. The NPI Number for Micahel Jason Gambill is 1023454071 and holds a License No. 00201959 (Louisiana).

The current practice location address for Micahel Jason Gambill is 2285 Benton Rd Ste C100, Bossier City, LA and can be reached out via phone at 318-742-9333 and via fax at 318-747-9089. You can also correspond with Micahel Jason Gambill through the mailing address at 2285 BENTON RD STE C100, BOSSIER CITY, LA - 71111-3465 (mailing address contact number: 318-742-9333).

Location: 2285 Benton Rd Ste C100, Bossier City, LA, 71111-3465
person
Provider Profile Details
NPI Number
1023454071
Provider Name
Micahel Jason Gambill
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2285 Benton Rd Ste C100, Bossier City, LA, 71111-3465
Phone Number
318-742-9333
Fax Number
318-747-9089
Provider Enumeration Date
05/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30872 05 LA
institution
Provider Business Practice Location Address Details
Address
2285 Benton Rd Ste C100
City
State
Zip
71111-3465
Phone Number
318-742-9333
Fax Number
318-747-9089
person
Provider Business Mailing Address Details
Address
2285 Benton Rd Ste C100
City
State
Zip
71111-3465
Phone Number
318-742-9333
Fax Number
318-747-9089
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
00201959 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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