Organization Active NPI

Gary Gilbert DDS

  • Dentist
  • Mount Clemens, MI
National Provider Identifier
1295343721
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GARY GILBERT DDS
Doing business as
Gary GilbertDDS
Practice address
312 Crocker Blvd
Mount Clemens, MI 48043-2547
Phone
(586) 469-6336
Fax
(586) 469-1535
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Elaine Gilbert
Title
Office MGR
Phone
(586) 243-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

312 Crocker Blvd
Mount Clemens, MI 48043-2547

Mailing address

312 Crocker Blvd
Mount Clemens, MI 48043-2547
Phone (586) 469-6336

Other names 1

  • Gary GilbertDDS Doing business as

National Provider Directory

National Provider Directory

Locations

312 Crocker Blvd
Mount Clemens, MI 48043
Phone (586) 469-6336

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1295343721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CROCKER BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432547",
            "telephone_number": "586-469-6336",
            "fax_number": "586-469-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CROCKER BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432547",
            "telephone_number": "586-469-6336",
            "fax_number": "586-469-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GILBERT DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "586-243-9001"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary GilbertDDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.