Provider Demographics
NPI:1568624203
Name:JAMES I GILBERT III DDS INC
Entity Type:Organization
Organization Name:JAMES I GILBERT III DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:W
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-962-1709
Mailing Address - Street 1:229 N 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 N 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty