Robert C Gerlach, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6098 Issued in KS

Practice address

351 W 6TH Street
BLDG 440, USA Dentac
Ft Stewart, GA 31314

Phone

(912) 767-6735

Fax

(912) 767-5425

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1427022854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W 6TH STREET",
            "address_2": "BLDG 440, USA DENTAC",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W 6TH STREET",
            "address_2": "BLDG 440, USA DENTAC",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-767-6735",
            "fax_number": "912-767-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLACH",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6098",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "015647",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KS",
            "license": "6098",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "015647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergey Gazarov, D.D.S.
• Lauren Elizabeth Geddis, OTR/L
• Andrea Gedon
• Melanie Thomas Geiszler, PHARMD
• Daniel Eli Gelman, MD
• Gloria German
• Kaitlyn C Gerros
• Michael David Gianelle, PA-C
• Richard Gibson, PA-C
• Cheri Marie Gideon, RN

• Periodontics in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.