Active NPI
Gamble Dentalsmart PC
Doing business as DentalSMart
- General Practice Dentistry
- Goose Creek, SC
National Provider Identifier
1790183887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1626
- Legal business name
- GAMBLE DENTALSMART PC
- Doing business as
- DentalSMart
- Practice address
- 130 Saint James Ave
Goose Creek, SC 29445-2941 - Phone
- (843) 614-6845
- NPI assigned
- Dec 5, 2014
- Last updated
- Dec 5, 2014
- Organization subpart
- No
NPPES NPI Registry
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 of Practice
- Phone
- (843) 614-6769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1626 | SC | Primary |
Addresses
Primary practice location
130 Saint James Ave
Goose Creek, SC 29445-2941
Mailing address
2020 Savannah Hwy
Charleston, SC 29407-6286
Phone (843) 614-6769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX1626 | Medicaid | SC |
Other names 1
- DentalSMart
National Provider Directory
National Provider Directory- Tax ID family
- Dentalsmart
Other organizations with this tax ID 28
Organizations that report the same tax identification number in the National Provider Directory.
-
dba DentalSmart
- General Practice Dentistry
- North Charleston, SC
- NPI 1144685330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1790183887",
"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",
"telephone_number": "843-614-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SAINT JAMES AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452941",
"telephone_number": "843-614-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMBLE DENTALSMART PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER OF PRACTICE",
"authorized_official_telephone_number": "843-614-6769",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "1626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX1626",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DentalSMart",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.