Jannet E Gamboa DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN18622 Issued in FL

Legal business name

JANNET E GAMBOA DDS INC

Practice address

10818 NW 58TH St
Doral, FL 33178-2854

Phone

(305) 477-7601

Fax

(305) 471-0137

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jannet Elena Gamboa, DDS

Title

Dentist

Phone

(305) 477-7601

Specialties & licenses 1

Addresses

Other names 1

• Gamboa Dental Group Doing business as

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1992204531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7601",
            "fax_number": "305-471-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-477-7601",
            "fax_number": "305-471-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNET E GAMBOA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "JANNET",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-477-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gamboa Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Doral, FL
• Providers in Doral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.