Gabriel Dawson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11353 Issued in MT

Practice address

795 Sunset Blvd Ste C
Kalispell, MT 59901-3610

Phone

(425) 420-5943

NPI assigned

Apr 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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.

• Big Sky Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Kalispell, MT
  • NPI 1730921289
  NPD Authorized official
• Big Sky Pediatric Polson PLLC

  • Pediatric Dentistry
  • Polson, MT
  • NPI 1407698962
  NPD Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1972921450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SUNSET BLVD STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013610",
            "telephone_number": "425-420-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SUNSET BLVD STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013610",
            "telephone_number": "425-420-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "GABRIEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "11353",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-024412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria Davis, PTA
• Frances Montanye Davis, OTD R/L
• Melissa Faith Davis, EMT
• Ronald V Davis, D.D.S.
• Sarah Ashley Tucker Davis, DO
• Courtney Day, PA-C
• Douglas R Day, PA-C
• Pieter Albert De Lepper, P.T., OCS, CERT. MDT
• Jose C De Souza, MD
• Mary C De Souza, MSP ANP

• Pediatric Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Pediatric Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.