Provider Demographics
NPI:1720051378
Name:SPECHT, GILBERT EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:EDWARD
Last Name:SPECHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNS
Mailing Address - State:KS
Mailing Address - Zip Code:67437-2021
Mailing Address - Country:US
Mailing Address - Phone:785-454-3831
Mailing Address - Fax:
Practice Address - Street 1:620 MORGAN AVE
Practice Address - Street 2:
Practice Address - City:DOWNS
Practice Address - State:KS
Practice Address - Zip Code:67437-2021
Practice Address - Country:US
Practice Address - Phone:785-454-3831
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6660122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist