Provider Demographics
NPI:1831205178
Name:FLEISCHMAN, GILBERT JAY (DDS)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:JAY
Last Name:FLEISCHMAN
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 1:400 THIRD AVE
Mailing Address - Street 2:GILBERT FLEISCHMAN
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704
Mailing Address - Country:US
Mailing Address - Phone:570-283-3444
Mailing Address - Fax:570-283-3492
Practice Address - Street 1:400 THIRD AVE
Practice Address - Street 2:GILBERT FLEISCHMAN DDS
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704
Practice Address - Country:US
Practice Address - Phone:570-283-3444
Practice Address - Fax:570-283-3492
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018245L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics