Arnold C Gangwisch, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10497 Issued in FL

Practice address

530 Florida Ave
Lynn Haven, FL 32444-1736

Phone

(850) 271-2341

Fax

(850) 271-0679

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By 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)

Not 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.

• Ma Dental

  dba Bay Smile Docs

  • General Practice Dentistry
  • Lynn Haven, FL
  • NPI 1669958740
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306983580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441736",
            "telephone_number": "850-271-2341",
            "fax_number": "850-271-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FLORIDA AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441736",
            "telephone_number": "850-271-2341",
            "fax_number": "850-271-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGWISCH",
        "first_name": "ARNOLD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika J Finch, MSW
• Ann Marie Fowler-Pyle, LMT
• Jennifer Fox, NP
• Christopher Brett Frank, PT
• Betty J. Gaines Sadler
• Daniel Matthew Garbett, PHARMD
• Marc Charles Gehrken, MS, BCBA
• David Mark Gentili
• Joseph Mark Gerlecz, D.D.S.
• Steven M Gerlecz, DDS

• General Practice Dentistry in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.