Provider Demographics
NPI:1235196973
Name:GILBERT, JAMES I III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:I
Last Name:GILBERT
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 NORTH MONROE AVENUE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426
Mailing Address - Country:US
Mailing Address - Phone:540-962-1709
Mailing Address - Fax:540-962-4854
Practice Address - Street 1:229 NORTH MONROE AVENUE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426
Practice Address - Country:US
Practice Address - Phone:540-962-1709
Practice Address - Fax:540-962-4854
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA37271223G0001X
VA04010037271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007807643Medicaid