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Contact Information

GAMBLE DENTALSMART PC
1034 HIGHWAY 80
POOLER, GA31322
 Phone: 843-735-6727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GAMBLE DENTALSMART PC

NPI # 1114304540
LBN Legal business name GAMBLE DENTALSMART PC
Authorized official ROBERT GAMBLE - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2015
Last updated 04/08/2016 - About 10 years ago
Identifiers
SC Medicaid ZX1626
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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