Angela Davidson Gabbard, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9333 Issued in KY

Practice address

100 Hardin LN Ste a
Somerset, KY 42503-3812

Phone

(606) 425-5504

Fax

(606) 425-5804

NPI assigned

Apr 30, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Cumberland Pediatric Dentistry

  • Pediatric Dentistry
  • Somerset, KY
  • NPI 1073099792
  NPD Authorized official

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1962847285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARDIN LN STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033812",
            "telephone_number": "606-425-5504",
            "fax_number": "606-425-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HARDIN LN STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033812",
            "telephone_number": "606-425-5504",
            "fax_number": "606-425-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "ANGELA",
        "middle_name": "DAVIDSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "9333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Frietch, CRNA
• Christopher John Frost, M.D.
• Bryson Dane Fry, DMD
• Samantha Drew Fugate, CPSS
• Timothy Fugate
• Stephen Leon Gabbard, DPT
• Jessica Jane Gadberry, DPT
• Brittany Gaines, CF-SLP
• Kathy J Gaines, RN
• Daniel Lawrence Gallo, M.D.

• Pediatric Dentistry in Somerset, KY
• Providers in Somerset, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.