Provider Demographics
NPI:1063782415
Name:GAMBEE PC
Entity type:Organization
Organization Name:GAMBEE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:406-377-6222
Mailing Address - Street 1:PO BOX 1329
Mailing Address - Street 2:
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330-1329
Mailing Address - Country:US
Mailing Address - Phone:406-377-6222
Mailing Address - Fax:
Practice Address - Street 1:106 N KENDRICK AVE
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-1625
Practice Address - Country:US
Practice Address - Phone:406-377-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty