Provider Demographics
NPI:1770717241
Name:GILBART DENTAL CARE LLC
Entity type:Organization
Organization Name:GILBART DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-828-6888
Mailing Address - Street 1:8320 BELLONA AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2061
Mailing Address - Country:US
Mailing Address - Phone:410-828-6888
Mailing Address - Fax:410-828-6688
Practice Address - Street 1:8320 BELLONA AVE STE 10
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2061
Practice Address - Country:US
Practice Address - Phone:410-828-6888
Practice Address - Fax:410-828-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12985122300000X
MD12783122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty