NPIMap

Organization Active NPI

Gamble Dentalsmart, PC

  • General Practice Dentistry
  • Covington, GA
National Provider Identifier
1356793475
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GAMBLE DENTALSMART, PC
Practice address
13015 Brown Bridge Rd
Suite 610
Covington, GA 30016-9111
Phone
(843) 735-6727
Fax
(843) 735-6717
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Robert B Gamble Jr., DMD
Title
Owner Dentist
Phone
(843) 735-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13015 Brown Bridge Rd
Suite 610
Covington, GA 30016-9111

Mailing address

2020 Savannah Hwy
Charleston, SC 29407-6286

Other names 1

  • DentalSmart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentalsmart29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

13015 Brown Bridge Rd
Ste 610
Covington, GA 30016

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1356793475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 BROWN BRIDGE RD",
            "address_2": "SUITE 610",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300169111",
            "telephone_number": "843-735-6727",
            "fax_number": "843-735-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBLE DENTALSMART, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "843-735-6727",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalSmart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.