Earl E Gaball, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09608 Issued in MI

Practice address

250 North Ave
Battle Creek, MI 49017-3428

Phone

(269) 883-1674

Fax

(269) 962-1694

NPI assigned

Jun 13, 2007

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Earl E. Gaball, DDS PC

  • General Practice Dentistry
  • Battle Creek, MI
  • NPI 1780756353
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1093919193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173428",
            "telephone_number": "269-883-1674",
            "fax_number": "269-962-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173428",
            "telephone_number": "269-883-1674",
            "fax_number": "269-962-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALL",
        "first_name": "EARL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "09608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrica Fuller, MA, LPC
• Jermaine Funderburg
• Barbara Ellen Funk, MA LPC CAADC
• Alan Michel Furlan, MD
• G&O Enterprise LLC (Crestwood East)
• Kristen Gable
• Ankita Gadre
• Alfred Gagne
• Bruce Weber Galonsky, MD
• Tasia Gamble

• General Practice Dentistry in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.