Provider Demographics
NPI:1891177689
Name:TAMARA L. GIBBS, D.D.S., P.C.
Entity Type:Organization
Organization Name:TAMARA L. GIBBS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-451-5599
Mailing Address - Street 1:12030 MELODY DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4212
Mailing Address - Country:US
Mailing Address - Phone:303-451-5599
Mailing Address - Fax:303-280-9357
Practice Address - Street 1:12030 MELODY DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-4212
Practice Address - Country:US
Practice Address - Phone:303-451-5599
Practice Address - Fax:303-280-9357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty