Provider Demographics
NPI:1861502072
Name:DAVID H GILBERT DDS MS MBA INC
Entity Type:Organization
Organization Name:DAVID H GILBERT DDS MS MBA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BABBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-982-8888
Mailing Address - Street 1:1333 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4052
Mailing Address - Country:US
Mailing Address - Phone:909-982-8888
Mailing Address - Fax:909-982-8251
Practice Address - Street 1:1333 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4052
Practice Address - Country:US
Practice Address - Phone:909-982-8888
Practice Address - Fax:909-982-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA426541223S0112X
204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty