Provider Demographics
NPI:1457545428
Name:GILBERT, DANIELLE LEANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LEANNE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N NORMA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3157
Mailing Address - Country:US
Mailing Address - Phone:760-463-9006
Mailing Address - Fax:
Practice Address - Street 1:1101 N NORMA ST
Practice Address - Street 2:SUITE B
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3157
Practice Address - Country:US
Practice Address - Phone:760-463-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA597761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry