Lawrence Richard Gilbert, D.D.S.
Individual provider Active NPI Dentist · Wharton, NJ
NPI 1659543726 · NPPES record last updated Mar 29, 2008
Key facts
- NPI
- 1659543726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22D101157400 (NJ)
- Practice address
- 31 N Main St
Wharton, NJ 07885-2216 - Phone
- (973) 366-2917
- Fax
- (973) 366-2917
- NPI assigned
- Mar 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D101157400 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D101157400 | NJ | Yes |
| General Practice Dentistry | 1223G0001X | 22D101157400 | NJ |
Addresses
Primary practice location
31 N Main St
Wharton, NJ 07885-2216
Mailing address
PO Box 114
Wharton, NJ 07885-0114
Phone (973) 366-2917
Other providers in Wharton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.