Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICAHEL JASON GAMBILL, D.D.S.
Active Sole ProprietorDR. MICAHEL JASON GAMBILL, D.D.S. is a Pediatric Dentistry healthcare provider located in BOSSIER CITY, Louisiana. NPI 1023454071 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1023454071
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2013 (13.218598705141 yrs)
- Last Updated
- Nov 16, 2018
- Licenses
-
00201959 (CO)6422 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2285 BENTON RD STE C100BOSSIER CITY, LA, 711113465Browse LA providers · Browse ZIP 71111
- Phone
- 3187429333
- Fax
- 3187479089
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| ERIC J LEBLANC | DDS | 1093711368 |
| DR. ALEXANDER JACOB ZIEGLER | DDS | 1154851145 |
| SRIVARSHA PONNA | — | 1093367153 |
| JU YONG LEE | DDS | 1245886894 |
| DR. NANCY DINH LY | DDS | 1134743990 |
| DR. JORDAN TRUONG | DMD | 1902535743 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.