Phattara Gibbs is a Dentist in Lakeland, Florida. Phattara Gibbs practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phattara Gibbs is 1205094117. The last update date is 2009-11-03.
Phattara Gibbs's current location address is 4744 S Florida Ave, Lakeland, Florida. You can contact this provider via phone number 8636441226 and fax number 8636443756. The mailing address for Phattara Gibbs is 4744 S Florida Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phattara Gibbs |
|---|---|
| Address | 4744 S Florida Ave, Lakeland, Florida |
| Phone Number | 8636441226 |
| Fax Number | 8636443756 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1205094117 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2009-11-03 |
Provider Mailing Address Detail
| Address | 4744 S Florida Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338132181 |
| Phone Number | 8636441226 |
| Fax Number | 8636443756 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN18269 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Phattara Gibbs by the Centers for Medicare & Medicaid Services?
The Phattara Gibbs has been assigned the NPI (National Provider Identifier) 1205094117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Phattara Gibbs is located?
The Phattara Gibbs is situated at the following address: 4744 S Florida Ave, Lakeland, FL, 338132181.
What is the Phattara Gibbs's area of specialization and corresponding taxonomy classification?
The Phattara Gibbs's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Phattara Gibbs receive its 1205094117 assignment?
The Phattara Gibbs was assigned its 1205094117 on 2008-05-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Phattara Gibbs most recently updated or revised?
The information pertaining to Phattara Gibbs, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-03.
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