Grace Garbo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4421 Issued in LA

Practice address

1808 Highway 190 W
Suite D
Deridder, LA 70634-6023

Phone

(337) 463-6545

Fax

(337) 462-3908

NPI assigned

May 24, 2007

Sex

Female

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Dental Plus, LLC

  • Endodontics
  • Deridder, LA
  • NPI 1497866719

  General Practice

  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1548471592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 HIGHWAY 190 W",
            "address_2": "SUITE D",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346023",
            "telephone_number": "337-463-6545",
            "fax_number": "337-462-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 HIGHWAY 190 W",
            "address_2": "SUITE D",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346023",
            "telephone_number": "337-463-6545",
            "fax_number": "337-462-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBO",
        "first_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flynn a. Taylor, M.D.,P.C.
• Thomas T Franks, CRNA
• Mafie Free
• Fresenius Medical Care Beauregard Parish, LLC
• Natha L Gantt, LCSW
• Get Healthy, LLC
• Katrina Lynn Gilson Dauzat, LMT
• Ella G Gilson, LMT
• Gary L Godair, RPH
• Harry H Goodwin Jr., DDS

• General Practice Dentistry in Deridder, LA
• Providers in Deridder, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.