Provider Demographics
NPI:1851152003
Name:LYNN C. GILBERT, DDS, MPH, LTD.
Entity Type:Organization
Organization Name:LYNN C. GILBERT, DDS, MPH, LTD.
Other - Org Name:AFFORDABLE DENTURES & IMPLANTS - PARKERSBURG-VIENNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:681-660-1156
Mailing Address - Street 1:3908 MURDOCH AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26105-4032
Mailing Address - Country:US
Mailing Address - Phone:681-660-1156
Mailing Address - Fax:
Practice Address - Street 1:3908 MURDOCH AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26105-4032
Practice Address - Country:US
Practice Address - Phone:681-660-1156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty