Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHATTARA GIBBS, DMD
Active Sole ProprietorDR. PHATTARA GIBBS, DMD is a Dentist healthcare provider located in LAKELAND, Florida. NPI 1205094117 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKELAND, FL
Registration Details
- NPI Number
- 1205094117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2008 (18.186949509845 yrs)
- Last Updated
- Nov 3, 2009
- License
-
DN18269 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4744 S FLORIDA AVELAKELAND, FL, 338132181Browse FL providers · Browse ZIP 33813
- Phone
- 8636441226
- Fax
- 8636443756
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| DR. THACH PHAM | D.M.D | 1407816903 |
| DR. FARID MOGHADASI | DMD | 1811000698 |
| JAMES CLAYTON LANHAM | DDS | 1952408155 |
| DR. ROBERT E BELL | DMD PA | 1437259991 |
| DR. PHILIP RAPHAEL CONTRERAS | DDS | 1508950510 |
| DR. CRAIG W VALENTINE | DMD | 1922157619 |
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.