Andrew G Gambrell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

03794 Issued in SC

Practice address

9020 Farrow Rd
Columbia, SC 29203-9773

Phone

(803) 419-5002

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Elite Smiles Dental, P.a.

  • Dentist
  • Columbia, SC
  • NPI 1861649386

  General Practice

  NPD (past) Authorized official
• Elite Smiles Dental, PA

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1801453675
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1730220112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039773",
            "telephone_number": "803-419-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039773",
            "telephone_number": "803-419-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "ANDREW",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "3794",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "03794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "57-0994852",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delicia H Gamble, PHARMD, MHA
• Kiara Gamble
• Laura Elizabeth Gamble, MSN-CPNP
• William Bryan Gamble, M.D.
• Yalander Moore Gamble, RPH
• James Alton Gambrell, M.D.
• Robin Snyder Gambrell
• Terrence Darrell Gambrell, MA
• Merri Murdoch Gandhi, DMD
• Alexa Gandy

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.