Organization Active NPI

Gilbart Dental Care of Ellicott City LLC

  • Dental Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1093089633
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12985 Issued in MD
Legal business name
GILBART DENTAL CARE OF ELLICOTT CITY LLC
Practice address
3444 Ellicott Center Dr Ste 104
Ellicott City, MD 21043-4670
Phone
(410) 750-7580
Fax
(410) 750-7680
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Jonathan C. Gilbart, DDS
Title
Dentist/President
Phone
(301) 524-0463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12783 MD
Dental Clinic/Center 261QD0000X 12985 MD Primary

Addresses

Primary practice location

3444 Ellicott Center Dr Ste 104
Ellicott City, MD 21043-4670

Mailing address

3444 Ellicott Center Dr Ste 104
Ellicott City, MD 21043-4670
Phone (410) 750-7580

Other names 1

  • Gilbart Dental Care of Ellicott City Doing business as

National Provider Directory

National Provider Directory

Locations

3444 Ellicott Center Dr
Ste 104
Ellicott City, MD 21043
Phone (410) 461-4345

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1093089633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 ELLICOTT CENTER DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434670",
            "telephone_number": "410-750-7580",
            "fax_number": "410-750-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 ELLICOTT CENTER DR STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434670",
            "telephone_number": "410-750-7580",
            "fax_number": "410-750-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBART DENTAL CARE OF ELLICOTT CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "GILBART",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "301-524-0463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12783",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbart Dental Care of Ellicott City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.