Healthcare Provider Details

I. General information

NPI: 1871648410
Provider Name (Legal Business Name): LUCY GILBART D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 THOMAS JOHNSON DR STE B
FREDERICK MD
21702-4371
US

IV. Provider business mailing address

6467 GLOVER LN
THE VILLAGES FL
34762-0675
US

V. Phone/Fax

Practice location:
  • Phone: 301-668-6000
  • Fax:
Mailing address:
  • Phone: 301-305-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12985
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: