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Dr. Micahel Jason Gambill

Pediatric Dentist

2285 Benton Rd Ste C100
Bossier City , Louisiana 71111-3465

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Image

Dr. Micahel Jason Gambill

Pediatric Dentist

2285 Benton Rd Ste C100
Bossier City , Louisiana 71111-3465

(318) 747-9089

Write a Review Save Call

Dr. Micahel Jason Gambill

Pediatric Dentist

2285 Benton Rd Ste C100
Bossier City , Louisiana 71111-3465

(318) 747-9089 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

2285 Benton Rd Ste C100 Bossier City , Louisiana 71111-3465

First Address

  • Dr. Micahel Jason Gambill
  • 2285 Benton Rd Ste C100
  • Bossier City, LA
  • Zip : 71111-3465
  • Fax : (318) 747-9089
  • Phone : (318) 742-9333

Second Address

  • Dr. Micahel Jason Gambill
  • 2285 Benton Rd Ste C100
  • Bossier City, LA
  • Zip : 71111-3465
  • Fax : (318) 747-9089
  • Phone : (318) 742-9333

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FAQs


Where did Dr. Micahel Jason Gambill attend graduate school?

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Where did Dr. Micahel Jason Gambill do his residency?

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Where did Dr. Micahel Jason Gambill do his fellowship?

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Is Dr. Micahel Jason Gambill board certified?

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What type of doctor is Dr. Micahel Jason Gambill

Pediatric Dentist

In what state does Dr. Micahel Jason Gambill practice in?

Louisiana

Where is Dr. Micahel Jason Gambill ’s practice located?

2285 Benton Rd Ste C100 , Bossier City, Louisiana, 71111-3465

What is Dr. Micahel Jason Gambill ’s gender?

Male

Is Dr. Micahel Jason Gambill a sole practitioner?

No

Is Dr. Micahel Jason Gambill accepting new patients?

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What languages does Dr. Micahel Jason Gambill speak?

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Does Dr. Micahel Jason Gambill accept insurance?

Yes, Dr. Micahel Jason Gambill accepts insurance

Does Dr. Micahel Jason Gambill offers telemedicine?

Dr. Micahel Jason Gambill has not indicated if he offers telemedicine

What is Dr. Micahel Jason Gambill ’s professional license number?

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What is Dr. Micahel Jason Gambill ’s NPI number?

1023454071

Does Dr. Micahel Jason Gambill have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223P0221X Pediatric Dentist 00201959 CO
Y 1223P0221X Pediatric Dentist 6422 LA

National Provider Identifier

NPI 1023454071
Provider Name Dr. Micahel Jason Gambill
First Address Bossier City, LA 71111-3465
Second Address Bossier City, LA 71111-3465
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 17/05/2013
Last Update Date 16/11/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
30872 (05) LA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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