Edmund Warren Gubler Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123865 Issued in GA

Practice address

2020 Cumming Hwy Ste 100
Canton, GA 30115-8071

Phone

(770) 741-0439

NPI assigned

Apr 8, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1659358687

  UT

  Medicare reassignment NPD
• Dental Town Emergency Services LLC

  • Dentist
  • Canton, GA
  • NPI 1174491187
  NPD
• Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springdale, UT
  • NPI 1275314528
  NPD
• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1053930289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CUMMING HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158071",
            "telephone_number": "770-741-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CUMMING HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158071",
            "telephone_number": "770-741-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBLER",
        "first_name": "EDMUND",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123865",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-21395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E. Gross, P.T.
• Mary Robin Grove, CRC, LPC
• Grow With Me Pediatric Physical Therapy
• Anthony J Gualtieri, RPH
• Guardian Neuro, LLC
• Ethan Gudger, PHARMD
• Sirisha Guthikonda, MD
• Matthew Ryan Haack, M.D.
• Garrett Hachem
• Salam O Hadrami, MD

• All providers in Canton, GA
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.