Keith Alan Gilbert, D.D.S.
Individual provider Active NPI Dentist · North Potomac, MD
NPI 1831219955 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831219955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 9617 (MD)
- Practice address
- 11906 Darnestown Rd
Suite D
North Potomac, MD 20878-2200 - Phone
- (301) 527-0775
- Fax
- (301) 527-0189
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 17, 2016 through Mar 17, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9617 | MD | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9617 | MD | Yes |
Addresses
Primary practice location
11906 Darnestown Rd
Suite D
North Potomac, MD 20878-2200
Mailing address
11906 Darnestown Rd
Suite D
North Potomac, MD 20878-2200
Phone (301) 527-0775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9617 | Other | MD | DENTAL LICENSE |
Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.