Healthcare Provider Details

I. General information

NPI: 1518717081
Provider Name (Legal Business Name): ROBERT GILBERT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S PIKE ST
SHINNSTON WV
26431-1125
US

IV. Provider business mailing address

407 S PIKE ST
SHINNSTON WV
26431-1125
US

V. Phone/Fax

Practice location:
  • Phone: 304-592-0600
  • Fax: 304-592-0642
Mailing address:
  • Phone: 304-592-0600
  • Fax: 304-592-0642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4709
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: