Provider Demographics
NPI:1013573971
Name:DAVID GILBERT OSER DDS PC
Entity Type:Organization
Organization Name:DAVID GILBERT OSER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:OSER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-886-7924
Mailing Address - Street 1:901 W MADISON ST UNIT 619
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3372
Mailing Address - Country:US
Mailing Address - Phone:608-886-7924
Mailing Address - Fax:
Practice Address - Street 1:910 W VAN BUREN ST STE 600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-7900
Practice Address - Country:US
Practice Address - Phone:312-201-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental