GAMBLE DENTALSMART PC NPI 1790183887

NPI Information

  • NPI: 1790183887
  • Provider Name: GAMBLE DENTALSMART PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DENTALSMART
  • Address: 130 SAINT JAMES AVE
    GOOSE CREEK, SC
    ZIP 29445
  • Phone: (843) 614-6845

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NPI Details

GAMBLE DENTALSMART PC is a general practice dentist in Goose Creek, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GAMBLE DENTALSMART PC NPI is 1790183887. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dentalsmart.

The provider's business location address is:

130 SAINT JAMES AVE
GOOSE CREEK, SC
ZIP 29445-941
Phone: (843) 614-6845

The provider's authorized official is Robert B Gamble .
The authorized official title is Owner Of Practice and has the following contact phone number (843) 614-6769.

The enumeration date for this NPI number is 12/5/2014 and was last updated on 12/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1626SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZX1626MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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