Provider Demographics
NPI:1285987750
Name:PLUMMER-MOLINA, GILLIAN N (DMD)
Entity type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:N
Last Name:PLUMMER-MOLINA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 VANDERBILT BEACH RD
Mailing Address - Street 2:SUITE #12
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119
Mailing Address - Country:US
Mailing Address - Phone:239-271-2497
Mailing Address - Fax:239-603-6403
Practice Address - Street 1:7211 VANDERBILT BEACH RD,
Practice Address - Street 2:SUITE #12
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3411
Practice Address - Country:US
Practice Address - Phone:239-271-2497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN199821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice