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General NPI Number Information
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NPI Number | 1336332832
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Entity Type | Organization
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Legal Business Name | LAUREN GIBBERMAN DDS PLLC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 6303 LITTLE RIVER TPKE STE 205
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5100
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Country | US
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Telephone | 703-823-6616
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Fax | 703-823-2141
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Provider Business Mailing Address
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Address Line | 6303 LITTLE RIVER TPKE STE 205
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5100
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Country | US
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Telephone | 703-823-6616
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Fax | 703-823-2141
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | LAUREN BETH GIBBERMAN
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Credential |
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Telephone | 703-823-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411023
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401005538
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License Number State | VA
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