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General NPI Number Information
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NPI Number | 1013022631
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Entity Type | Organization
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Legal Business Name | GILBERT DENTAL CARE, PC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1500 MARKET ST LOWER LOBBY
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone | 215-972-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 MARKET ST LOWER LOBBY
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN JAY GILBERT
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Credential | D.M.D.
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Telephone | 215-972-0406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-019918-L
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License Number State | PA
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