Individual provider · Type 1 NPI

Micahel Jason Gambill, DDS

Pediatric Dentistry · Bossier City, LA

NPI number 1023454071 Active

Practice location

2285 Benton Rd Ste C100
Bossier City, LA 71111-3465

Call (318) 742-9333 Map

Fax (318) 747-9089

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X00201959 (CO)
Pediatric Dentistry Primary 1223P0221X6422 (LA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1023454071

Micahel Jason Gambill, DDS's National Provider Identifier is 1023454071, issued on May 17, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bossier City, LA. The record was last updated on Nov 16, 2018.